Provider Demographics
NPI:1023839586
Name:ISOKE DEVELOPMENTAL SERVICES LLC
Entity type:Organization
Organization Name:ISOKE DEVELOPMENTAL SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:NJEMILE
Authorized Official - Middle Name:
Authorized Official - Last Name:ISOKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:267-983-8856
Mailing Address - Street 1:2943 OLD WELSH RD APT 2
Mailing Address - Street 2:
Mailing Address - City:WILLOW GROVE
Mailing Address - State:PA
Mailing Address - Zip Code:19090-3835
Mailing Address - Country:US
Mailing Address - Phone:267-983-8856
Mailing Address - Fax:
Practice Address - Street 1:7924 ROLLING GREEN RD
Practice Address - Street 2:
Practice Address - City:CHELTENHAM
Practice Address - State:PA
Practice Address - Zip Code:19012-1710
Practice Address - Country:US
Practice Address - Phone:267-983-8856
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-17
Last Update Date:2024-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care