Organization
DISTINCT HOME HEALTH CARE, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS GLADYS CHARLEMAGNE BSN, RN - REGISTERED (RN, BSN DIRECTOR)
(215) 713-5413
Entity
Organization
Contact information
Practice address
8900 MAXWELL PL., PHILADELPHIA, PA 19152
(215) 713-5413
Mailing address
8900 MAXWELL PL., PHILADELPHIA, PA 19152
(215) 713-5413
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
RN:625738
PA
251S00000X
Community/Behavioral Health Agency
RN:625738
PA
Other
Enumeration date
11/12/2015
Last updated
11/12/2015
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