Immaculate Mary Home
Immaculate Mary Home is a Parenteral & Enteral Nutrition Supplies (DME) in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2006.
- Licensed in
- PA
- In the registry since
- 2006
Practice location Address checks out
2990 Holme AvePhiladelphia, PA 19136-1830
Phone: (215) 335-2100
Fax: (215) 368-5254
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Parenteral & Enteral Nutrition Supplies (DME) (primary) | Taxonomy 332BP3500X · Licence 090902 (PA) |
|---|
Record details
| NPI number | 1780751115 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Michael Czekner — Chief Financial Officer · (215) 368-0900 |
| NPI enumerated | November 29, 2006 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 2990 Holme Ave, Philadelphia, PA 19136-1830 |
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