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Individual

CARLA R COLEMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
615 ROSALIE ST, PHILADELPHIA, PA 19120-1223
(267) 902-9622
Mailing address
615 ROSALIE ST, PHILADELPHIA, PA 19120-1223
(267) 902-9622

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
251B00000X
Case Management Agency
251E00000X
Home Health Agency
Primary
61563601
PA
251G00000X
Community Based Hospice Care Agency
374U00000X
Home Health Aide

Other

Enumeration date
06/01/2022
Last updated
06/01/2022
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