Organization
LILLY SWEET HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LILEITH BROWN COTA, PCHA, BS, MS (OWNER/ADMINISTRATOR)
(573) 821-2642
Entity
Organization
Contact information
Practice address
1295 N PROVIDENCE RD APT G304, MEDIA, PA 19063-1233
(573) 821-2642
Mailing address
1295 N PROVIDENCE RD APT G304, MEDIA, PA 19063-1233
(573) 821-2642
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
05/28/2025
Last updated
05/28/2025
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