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Organization
DIRECT HOME CARE INC.
Active
Organization
DIRECT HOME CARE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GWENDOLYN E BROWN (PRESIDENT/OWNER)
(267) 312-6858
Entity
Organization
Contact information
Practice address
6511 VINE ST, PHILADELPHIA, PA 19139-1038
(267) 312-6858
Mailing address
6511 VINE ST, PHILADELPHIA, PA 19139-1038
(267) 312-6858
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
22883601
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
251E00000X
HOME HEALTH
PA
01
—
253Z00000X
IN HOME SUPPORTIVE CARE
PA
Enumeration date
07/25/2012
Last updated
07/25/2012
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