Organization
TAYLOR BONEA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARINA SMITH BS, MBA, MHA (OWNER/CEO)
(215) 559-9211
Entity
Organization
Contact information
Practice address
1932 N STANLEY ST, PHILADELPHIA, PA 19121-1831
(215) 559-9211
Mailing address
1932 N STANLEY ST, PHILADELPHIA, PA 19121-1831
(215) 559-9211
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
02/05/2018
Last updated
02/05/2018
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