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Organization
HUBBARD HOUSE INC
Active
Organization
HUBBARD HOUSE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RITA HUBBARD (DIRECTOR/ LPN)
(267) 408-6417
Entity
Organization
Contact information
Practice address
7901 HENRY AVE APT F105, PHILADELPHIA, PA 19128-3054
(267) 408-6417
(267) 766-5965
Mailing address
7901 HENRY AVE APT F105, PHILADELPHIA, PA 19128-3054
(267) 408-6417
(267) 766-5965
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN084112L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1032296880001
—
PA
Enumeration date
02/01/2017
Last updated
02/01/2017
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