Organization
NEW LINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANTEL S HAMILTON (EXECUTIVE DIRECTOR)
(215) 725-4740
Entity
Organization
Contact information
Practice address
6535 RISING SUN AVE, PHILADELPHIA, PA 19111-5246
(215) 725-4740
(215) 725-4742
Mailing address
6535 RISING SUN AVE, PHILADELPHIA, PA 19111-5246
(215) 725-4740
(215) 725-4742
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
16683601
PA
Other
Enumeration date
04/23/2010
Last updated
04/23/2010
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