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

IMMACULATE MARY HOME

Active Organization

IMMACULATE MARY HOME is a Parenteral & Enteral Nutrition (DME) organization located in PHILADELPHIA, Pennsylvania. NPI 1780751115 is currently active in the NPPES registry. Verify at CMS.

Parenteral & Enteral Nutrition (DME) · PHILADELPHIA, PA

Registration Details

NPI Number
1780751115
Provider Type
Organization
NPI Issued
Nov 29, 2006 (19.743229992905 yrs)
Last Updated
Aug 22, 2020
License
090902 (PA)

Practice Information

Address
2990 HOLME AVE
PHILADELPHIA, PA, 191361830
Browse PA providers · Browse ZIP 19136
Phone
2153352100
Fax
2153685254
Primary Specialty
Parenteral & Enteral Nutrition (DME)
332BP3500X

Other Parenteral & Enteral Nutrition (DME) Organizations in PHILADELPHIA, PA

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.