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Organization
HOME OF GENTLE CARE, CO
Active
Organization
HOME OF GENTLE CARE, CO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RASIDAH CAMPBELL PHARMD (CEO)
(484) 213-0378
Entity
Organization
Contact information
Practice address
224 BAREFIELD LN, CONSHOHOCKEN, PA 19428-3226
(484) 213-0378
Mailing address
224 BAREFIELD LN, CONSHOHOCKEN, PA 19428-3226
(484) 213-0378
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
—
251E00000X
Home Health Agency
Primary
—
—
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
372600000X
Adult Companion
—
—
Other
Enumeration date
02/22/2022
Last updated
02/22/2022
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