Provider Demographics
NPI:1053001388
Name:ADJUAHOME CARE LLC
Entity type:Organization
Organization Name:ADJUAHOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ADJUA
Authorized Official - Middle Name:
Authorized Official - Last Name:KEEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:267-205-4303
Mailing Address - Street 1:1101 W GIRARD AVE APT 202F
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19123-1151
Mailing Address - Country:US
Mailing Address - Phone:267-205-4303
Mailing Address - Fax:
Practice Address - Street 1:40 S 5TH ST # 100-501
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18101-1622
Practice Address - Country:US
Practice Address - Phone:484-549-0031
Practice Address - Fax:484-549-0032
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-10
Last Update Date:2023-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health