Organization
LONGEVITY100 HOMECARE AGENCY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NGAN T TCHIONG (OWNER)
(267) 312-9327
Entity
Organization
Contact information
Practice address
1411 WALNUT ST, BLUE BELL, PA 19422-3325
(267) 312-9327
Mailing address
1411 WALNUT ST, BLUE BELL, PA 19422-3325
(267) 312-9327
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
05/05/2025
Last updated
05/18/2025
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