Augie Wallace
Augie Wallace is a Home Health Aide in Upper Darby, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2015.
- Licensed in
- PA
- In the registry since
- 2015
Practice location Address checks out
8600 W Chester Pike Ste 308Upper Darby, PA 19082-2629
Phone: (484) 433-8208
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Home Health Aide (primary) | Taxonomy 374U00000X · Licence 28613601 (PA) |
|---|
Record details
| NPI number | 1083083455 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | September 16, 2015 |
| Last updated in NPPES | September 13, 2021 |
| Certification date | September 13, 2021 |
| Mailing address | 4312 Main St Apt 316, Philadelphia, PA 19127-1531 |
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