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Pennsylvania Home Care One

In Home Supportive Care in Philadelphia, PA. Organization (NPI-2).

NPI number1053187708
StatusActive
Last updated in NPPESDec 4, 2023

Details

NPI
1053187708
Entity type
Organization (NPI-2)
Legal business name
Pennsylvania Home Care One
Organization subpart
No
Enumeration date
Dec 4, 2023
Certification date
Dec 4, 2023
Last updated
Dec 4, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
253Z00000X In Home Supportive Care––Yes

Practice location

3114 N Front St
Philadelphia, PA 19133-4210

Phone 484-425-4563

Mailing address

2827 Narcissus Rd
Philadelphia, PA 19154-1603

Authorized official

Leonides Brown
Executive
4844254563

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