Organization
SPRING OF LIFE HOME CARE
Active
Other names
Spring of Life Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
SYREETA GILLIAM (OWNER)
(215) 251-3761
Entity
Organization
Contact information
Practice address
4042 LANCASTER AVE, PHILA, PA 19104-1712
(215) 251-3761
(267) 787-5394
Mailing address
4042 LANCASTER AVE, PHILA, PA 19104-1712
(215) 251-3761
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
01/30/2019
Last updated
03/07/2024
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