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Organization
FOUR HAVEN HOME CARE
Active
Organization
FOUR HAVEN HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIRSA VAZQUEZ (CEO)
(267) 602-1022
Entity
Organization
Contact information
Practice address
1401 N 5TH ST APT 815, PHILADELPHIA, PA 19122-3660
(267) 602-1022
Mailing address
1401 N 5TH ST APT 815, PHILADELPHIA, PA 19122-3660
(267) 602-1022
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
06/27/2023
Last updated
06/27/2023
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