GREATER ETHEYLN HOMECARE NPI 1013589340

NPI Information

GREATER ETHEYLN HOMECARE is a licensed practical nurse in Philadelphia, PA. The provider is an individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. GREATER ETHEYLN HOMECARE NPI is 1013589340. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

644 S YEWDALL ST
PHILADELPHIA, PA
ZIP 19143-522
Phone: (215) 608-9443

The provider's authorized official is Kaseem Starkey .
The authorized official title is Ceo and has the following contact phone number (215) 476-7550.

The enumeration date for this NPI number is 7/15/2021 and was last updated on 7/15/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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