Individual provider · Type 1 NPI

Augie Wallace

Home Health Aide · Upper Darby, PA

NPI number 1083083455 Active

Practice location

8600 W Chester Pike Ste 308
Upper Darby, PA 19082-2629

Mailing address

4312 Main St Apt 316
Philadelphia, PA 19127-1531

Specialties and licenses

TaxonomyCodeLicense
Home Health Aide Primary 374U00000X28613601 (PA)

Home Health Aide: A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes.

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About NPI 1083083455

Augie Wallace's National Provider Identifier is 1083083455, issued on Sep 16, 2015. The primary taxonomy on file is Home Health Aide (374U00000X), and the practice location is in Upper Darby, PA. The record was last updated on Sep 13, 2021.