Organization
MADE HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DANEEN DEDE-KOSI DICKER-ANKAMAH (EXECUTIVE DIRECTOR)
(484) 469-0669
Entity
Organization
Contact information
Practice address
1123 N 63RD ST, PHILADELPHIA, PA 19151-3209
(484) 469-0669
Mailing address
1123 N 63RD ST, PHILADELPHIA, PA 19151-3209
(484) 469-0669
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
02/15/2019
Last updated
06/14/2019
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