Organization
INNOVATIVE LIVING INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WOLANYO K AGUDU (OWNER)
(610) 280-0610
Entity
Organization
Contact information
Practice address
585 EXTON CMNS, EXTON, PA 19341-2453
(610) 280-0610
(610) 280-0618
Mailing address
585 EXTON CMNS, EXTON, PA 19341-2453
(610) 280-0610
(610) 280-0618
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
PA
Other
Enumeration date
07/06/2007
Last updated
08/22/2020
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