Organization
MODESTY HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AUGUSTINA DENNIS (PRESIDENT)
(267) 770-9876
Entity
Organization
Contact information
Practice address
4416 N 19TH ST, PHILADELPHIA, PA 19140-1002
(267) 770-9876
Mailing address
4416 N 19TH ST, PHILADELPHIA, PA 19140-1002
(267) 770-9876
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
02/07/2022
Last updated
02/07/2022
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