Immaculate Mary Home is a Parenteral & Enteral Nutrition Supplies (DME) based in Philadelphia, PA and is specialized in Parenteral & Enteral Nutrition. Immaculate Mary Home practices in Philadelphia, PA. The NPI Number for Immaculate Mary Home is 1780751115 and holds a License No. 090902 (Pennsylvania).
The current practice location address for Immaculate Mary Home is 2990 Holme Ave, Philadelphia, PA and can be reached out via phone at 215-335-2100 and via fax at 215-368-5254. You can also correspond with Immaculate Mary Home through the mailing address at 2990 HOLME AVE, PHILADELPHIA, PA - 19136-1830 (mailing address contact number: 215-335-2100).
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0649990001 | 01 | NSC DME SUPPLIER NO |
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