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Organization

EDWARDS DIRECT HOME CARE AGENCY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. QIMMAH EDWARDS (OWNER)
(888) 690-0525
Entity
Organization

Contact information

Practice address
143 W. WALNUT LANE, REAR BUILDING - SUITE 205, PHILADELPHIA, PA 19144
(888) 690-0525
(267) 331-5758
Mailing address
143 W. WALNUT LANE, REAR BUILDING - SUITE 205, PHILADELPHIA, PA 19144
(888) 690-0525
(267) 331-5758

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary

Other

Enumeration date
10/21/2020
Last updated
04/06/2021
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