39D2231247 CLIA NUMBER - TENDER CARE HOSPICE PA LLC

Laboratory Demographics

CLIA Number: 39D2231247

Facility Name: TENDER CARE HOSPICE PA LLC

Facility Address:
8601 STENTON AVE
WYNDMOOR, PA
ZIP 19038
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Facility Phone Number: 267 793-0610

Facility Type: Hospice

Certificate Type: Waiver

NPI Number: 1205509106

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name	Field Value
CLIA Number	39D2231247
LAB Type	Hospice
Facility Name	TENDER CARE HOSPICE PA LLC
Street	8601 STENTON AVE
City	WYNDMOOR
State	PA
ZIP	19038
Phone	267 793-0610
CertificateType	4
CertificateEffectiveDate	8/2/2023
CertificateExpirationDate	8/1/2025
FacilityType	Waiver

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