NPI 1457579567
General Heathcare Resource
Practice location
- Address
- 5014 Market St, Philadelphia, PA 19139-3504
- Phone
- (215) 471-5856
Authorised official
- Name
- Havens Jeniel Latisha
- Title
- Chemotherapy IV Specialist
- Phone
- (267) 237-6661
Registered specialties
Home Infusion Agency
Primary
Registry record
- NPI
- 1457579567
- Entity type
- Organization
- NPI issued
- 23 Apr 2007
- Record last updated
- 22 Aug 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.