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Search › Pennsylvania › 1041C0700X

Mahogany Summers

NPI 1811808934 · on the registry since 2026 · sole proprietor

Practice

Address
510 N Broad St Apt 439
Philadelphia, PA 19130
Phone
(732) 589-1299
Organisation at this address
Revamp - Encardia, Llc
Vidal Home Care Services, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Licence states on file
NJ
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-09-16

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania