institution
Immaculate Mary Home
Parenteral & Enteral Nutrition Supplies (DME) in Philadelphia, Pennsylvania
NPI 1780751115

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.

Location: 2990 Holme Ave, Philadelphia, PA, 19136-1830
institution
Provider Profile Details
NPI Number
1780751115
Provider Name
Immaculate Mary Home
Credential
Provider Entity Type
Organization
Address
2990 Holme Ave, Philadelphia, PA, 19136-1830
Phone Number
215-335-2100
Fax Number
215-368-5254
Provider Enumeration Date
11/29/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0649990001 01 NSC DME SUPPLIER NO
institution
Provider Business Practice Location Address Details
Address
2990 Holme Ave
City
State
Zip
19136-1830
Phone Number
215-335-2100
Fax Number
215-368-5254
person
Provider Business Mailing Address Details
Address
2990 Holme Ave
City
State
Zip
19136-1830
Phone Number
215-335-2100
Fax Number
215-368-5254
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Parenteral & Enteral Nutrition
Taxonomy
License No.
090902 (Pennsylvania)
Definition
Definition to come...
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