NPI 1013530443
Distinctive Homecare LLC
Practice location
- Address
- 9444 Kirkwood Rd, Philadelphia, PA 19114-2606
- Phone
- (267) 815-7307
Authorised official
- Name
- Benjamin Degraft Koomson
- Title
- President
- Phone
- (267) 815-7307
Registered specialties
General Practice Registered Nurse
Primary
Registry record
- NPI
- 1013530443
- Entity type
- Organization
- NPI issued
- 20 May 2020
- Record last updated
- 20 May 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.