39D2164394 CLIA NUMBER - DAILY DOVE CARE

Laboratory Demographics

CLIA Number: 39D2164394

Facility Name: DAILY DOVE CARE

Facility Address:
16 N 52ND ST
PHILADELPHIA, PA
ZIP 19139
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Facility Phone Number: 215 809-1639

Facility Type: Home Health Agency

Certificate Type: Waiver

NPI Number: 1538706437

Taxonomy: 3140N1450X - Skilled Nursing Facility
A nursing care facility designed and staffed for the provision of nursing care and appropriate educational and habilitative/rehabilitative services to children with multiple, complex or profound disabilities that can not be cared for in a less restrictive environment.

CLIA Record

Field Name Field Value
CLIA Number 39D2164394
LAB Type Home Health Agency
Facility Name DAILY DOVE CARE
Street 16 N 52ND ST
City PHILADELPHIA
State PA
ZIP 19139
Phone 215 809-1639
CertificateType 4
CertificateEffectiveDate 4/4/2023
CertificateExpirationDate 4/3/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024