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Organization
BCC PERSONAL CARE HOME LLC
Active
Organization
BCC PERSONAL CARE HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PATRICK DEMETRY CHARLES (SOLE MEMBER)
(215) 494-0100
Entity
Organization
Contact information
Practice address
205 KREWSON TER, WILLOW GROVE, PA 19090-3517
(215) 494-0100
Mailing address
205 KREWSON TER, WILLOW GROVE, PA 19090-3517
(215) 494-0100
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
174200000X
Meals Provider
—
—
177F00000X
Lodging Provider
—
—
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
310400000X
Assisted Living Facility
—
—
311Z00000X
Custodial Care Facility
—
—
343800000X
Secured Medical Transport (VAN)
—
—
347C00000X
Private Vehicle
—
—
372500000X
Chore Provider
—
—
372600000X
Adult Companion
—
—
3747A0650X
Attendant Care Provider
—
—
3747P1801X
Personal Care Attendant
—
—
376G00000X
Nursing Home Administrator
—
—
376K00000X
Nurse's Aide
—
—
Other
Enumeration date
01/17/2025
Last updated
04/11/2025
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