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Organization
PUBLIC CHOICE HOMECARE LLC
Active
Organization
PUBLIC CHOICE HOMECARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREGORY CHEATHAM JR. (OWNER)
(215) 907-7003
Entity
Organization
Contact information
Practice address
9202 OLD NEWTOWN RD, PHILADELPHIA, PA 19115-4908
(215) 907-7003
Mailing address
1708 MOHICAN ST, PHILADELPHIA, PA 19138-1116
(215) 907-7003
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30905303
—
PA
Enumeration date
01/17/2019
Last updated
05/28/2019
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