Organization
UNITED HOMECARE SUPPORT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BUSAYO DICKSON AJAYI (CEO)
(443) 635-1657
Entity
Organization
Contact information
Practice address
6350 GREENE ST APT 314, PHILADELPHIA, PA 19144-2528
(443) 635-1657
Mailing address
6350 GREENE ST APT 314, PHILADELPHIA, PA 19144-2528
(443) 635-1657
Taxonomy
Speciality
Code
Description
License number
State
103TA0700X
Adult Development & Aging Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8976HT
—
PA
Enumeration date
05/15/2023
Last updated
05/22/2023
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