Organization
HEART OF MINE HOME CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TAHIRA VERNICE WILSON RN (ADMINISTRATOR)
(215) 237-6439
Entity
Organization
Contact information
Practice address
1521 66TH AVE, PHILADELPHIA, PA 19126-2766
(215) 237-6439
Mailing address
1925 KEITH RD UNIT 9, ABINGTON, PA 19001-2628
(215) 237-6439
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
10/31/2020
Last updated
10/31/2020
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