White Lily Home Care INC
NPI #1164875696 in Wynnefield Heights, Pennsylvania
Provider Information
- NPI Number
- 1164875696
- Entity Type
- Organization
- Organization Name
- White Lily Home Care INC
- Primary Specialty
- Custodial Care Facility - Adult Care Home
- Enumeration Date
- Jul 20, 2016
- Last Updated
- Oct 15, 2019
Practice Location
- Address
- 4915 WYNNEFIELD AVENUE
- Address 2
- 1AF
- State
- Pennsylvania
- ZIP Code
- 19131
- Phone
- (215) 874-7444
Authorized Official
- Name
- MS. MARIE TONDALAYA CLACK, LPN, BA
- Title
- PRESIDENT/ADMINISTRATOR
- Phone
- (215) 874-7444
Specialties & Taxonomy Codes
| Specialty |
|---|
| Custodial Care Facility - Adult Care Home — Adult Care Home |
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