Organization
KEYSTONECARE HOME HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GAIL A INDERWIES RN,BSN,MBA (ADMINISTRATOR)
(215) 836-2440
Entity
Organization
Contact information
Practice address
8765 STENTON AVE, WYNDMOOR, PA 19038-8317
(215) 836-2440
(215) 836-2448
Mailing address
8765 STENTON AVENUE, WYNDMOOR, PA 19038
(215) 836-2440
(215) 836-2448
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1022901810001
—
PA
Enumeration date
01/27/2009
Last updated
05/11/2012
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