Organization
YOUR SMILE HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENISA NIKOLLA (PRESIDENT)
(215) 954-8941
Entity
Organization
Contact information
Practice address
2918 GILHAM ST, PHILADELPHIA, PA 19149-3018
(215) 954-8941
Mailing address
2918 GILHAM ST, PHILADELPHIA, PA 19149-3018
(215) 954-8941
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
04/05/2022
Last updated
04/05/2022
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