Organization
LENKA MOON HOMECARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRUNG VAN TRUONG (PRESIDENT)
(267) 237-1882
Entity
Organization
Contact information
Practice address
411 EMILY ST, PHILADELPHIA, PA 19148-2504
(267) 237-1882
Mailing address
411 EMILY ST, PHILADELPHIA, PA 19148-2504
(267) 237-1882
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
07/27/2023
Last updated
07/27/2023
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