# HUBBARD HOUSE INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083152854
- **Authorized official:** MS. RITA HUBBARD (DIRECTOR/ LPN)
- **Authorized official phone:** (267) 408-6417

## Contact information

- **Practice address:** 7901 HENRY AVE APT F105, PHILADELPHIA, PA 19128-3054
- **Practice address phone:** (267) 408-6417
- **Practice address fax:** (267) 766-5965
- **Mailing address:** 7901 HENRY AVE APT F105, PHILADELPHIA, PA 19128-3054
- **Mailing address phone:** (267) 408-6417
- **Mailing address fax:** (267) 766-5965

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 164W00000X | Licensed Practical Nurse | PN084112L | PA | Yes |

## Other

- **Enumeration date:** 02/01/2017
- **Last updated:** 02/01/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1032296880001 | — | PA |