Individual provider · Type 1 NPI

Clarence A. Stuppard Sr., ADMINISTRATOR

Home Health Agency · Philadelphia, PA

NPI number 1508175092 Active

Practice location

2924 Brighton St
Philadelphia, PA 19149-1922

Call (215) 624-1321 Map

Fax (215) 624-1034

Specialties and licenses

TaxonomyCodeLicense
Community Health Worker 172V00000X16713601 (PA)
Home Health Agency Primary 251E00000X16713601 (PA)

Home Health Agency: A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organ…

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About NPI 1508175092

Clarence A. Stuppard Sr., ADMINISTRATOR's National Provider Identifier is 1508175092, issued on Sep 30, 2010. The primary taxonomy on file is Home Health Agency (251E00000X), and the practice location is in Philadelphia, PA. The record was last updated on Sep 30, 2010.