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Mr. Humberto De La Cruz SR.
Home Health Agency in Philadelphia, Pennsylvania
NPI 1093909459

Humberto De La Cruz SR. is a Home Health Agency based in Philadelphia, PA. Humberto De La Cruz SR. practices in Philadelphia, PA. The NPI Number for Humberto De La Cruz SR. is 1093909459 and holds a License No. (Pennsylvania).

The current practice location address for Humberto De La Cruz SR. is 120 W Wyoming Ave, Philadelphia, PA and can be reached out via phone at 267-297-6848 and via fax at 267-343-3796.

Location: 120 W Wyoming Ave, Philadelphia, PA, 19140-1629
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1093909459
Provider Name
Humberto De La Cruz SR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
120 W Wyoming Ave, Philadelphia, PA, 19140-1629
Phone Number
267-297-6848
Fax Number
267-343-3796
Provider Enumeration Date
08/29/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
120 W Wyoming Ave
City
Philadelphia
State
Pennsylvania
Zip
19140-1629
Phone Number
267-297-6848
Fax Number
267-343-3796
person
Provider Business Mailing Address Details
Address
120 W Wyoming Ave
City
Philadelphia
State
Pennsylvania
Zip
19140-1629
Phone Number
267-297-6848
Fax Number
267-343-3796
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
(Pennsylvania)
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
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