Organization
HENNETAM HOME CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MA-TENNEH SAMPSON (PRESIDENT)
(267) 398-1693
Entity
Organization
Contact information
Practice address
1000 NORTHBROOK DR STE 502, FEASTERVILLE TREVOSE, PA 19053-8430
(267) 398-1693
Mailing address
1000 NORTHBROOK DR STE 502, FEASTERVILLE TREVOSE, PA 19053-8430
(267) 398-1693
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
06/03/2024
Last updated
08/21/2024
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