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Organization

PENNSYLVANIAN SPECIAL HEALTHCARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NYENPAN TARPEH-DOE (DIRECTOR)
(774) 257-2539
Entity
Organization

Contact information

Practice address
1630 S 53RD ST, PHILADELPHIA, PA 19143-5444
(774) 257-2539
Mailing address
1630 S 53RD ST, PHILADELPHIA, PA 19143-5444
(774) 257-2539

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
32063601
PA

Other

Enumeration date
12/27/2016
Last updated
12/27/2016
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