NPI 1164875696

White Lily Home Care INC

Organisation Adult Care Home Facility Wynnefield Heights, PA

Practice location

Address: 4915 Wynnefield Avenue 1af, Wynnefield Heights, PA 19131
Phone: (215) 874-7444

Authorised official

Name: Marie Tondalaya Clack
Title: President/Administrator
Phone: (215) 874-7444

Registered specialties

Adult Care Home Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311ZA0620X Licence 30513601 (PA)

Other Custodial Care Facility providers in Pennsylvania →

Registry record

NPI: 1164875696
Entity type: Organization
NPI issued: 20 Jul 2016
Record last updated: 15 Oct 2019

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.