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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

AUGIE WALLACE

Active

AUGIE WALLACE is a Home Health Aide healthcare provider located in UPPER DARBY, Pennsylvania. NPI 1083083455 is currently active in the NPPES registry. Verify at CMS.

Home Health Aide · UPPER DARBY, PA

Registration Details

NPI Number
1083083455
Provider Type
Individual
Gender
Male
NPI Issued
Sep 16, 2015 (10.931858943242 yrs)
Last Updated
Sep 13, 2021
License
28613601 (PA)

Practice Information

Address
8600 W CHESTER PIKE STE 308
UPPER DARBY, PA, 190822629
Browse PA providers · Browse ZIP 19082
Phone
4844338208
Primary Specialty
Home Health Aide
374U00000X

Other Home Health Aide Providers in UPPER DARBY, PA

Name Credential NPI
YONA K ASSAH 1912544578
FUNBI BOLANLE IWAJOMO 1083244438
ANDREW CHENG 1043819261
MORRIS B DUKULY 1225882533
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.