Organization
CHPH TRANSPORTATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. IKISHIA NATAYE JACKSON REGISTERED NURSE (ADMINISTRATOR/ OWNER)
(267) 439-0966
Entity
Organization
Contact information
Practice address
625 E GIRARD AVE APT 1, PHILADELPHIA, PA 19125-3400
(267) 439-0966
(215) 425-4400
Mailing address
625 E GIRARD AVE APT 1, PHILADELPHIA, PA 19125-3400
(267) 439-0966
(215) 425-4400
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
332U00000X
Home Delivered Meals
—
—
342000000X
Transportation Network Company
—
—
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
07/26/2021
Last updated
07/26/2021
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