Provider Demographics
NPI:1740745645
Name:YOHA'S HELPING HAND LLC
Entity Type:Organization
Organization Name:YOHA'S HELPING HAND LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:YOHA
Authorized Official - Middle Name:
Authorized Official - Last Name:GRISSOM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-251-6236
Mailing Address - Street 1:5767 DUNLAP ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19131-3411
Mailing Address - Country:US
Mailing Address - Phone:215-251-6236
Mailing Address - Fax:484-660-6100
Practice Address - Street 1:5767 DUNLAP ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19131-3411
Practice Address - Country:US
Practice Address - Phone:215-251-6236
Practice Address - Fax:484-660-6100
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-05
Last Update Date:2019-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA103559370Medicaid