# GENTLE CARE NURSING SERVICE, INC

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

## Provider details

- **NPI number:** 1538538608
- **Authorized official:** MRS. SPADRINE MAVIS CLARKE (OWNER)
- **Authorized official phone:** (215) 927-0958

## Contact information

- **Practice address:** 2479 78TH AVE, PHILADELPHIA, PA 19150-1824
- **Practice address phone:** (215) 927-0958
- **Mailing address:** 2479 78TH AVE, PHILADELPHIA, PA 19150-1824
- **Mailing address phone:** (215) 927-0958

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | 10573601 | PA | Yes |

## Other

- **Enumeration date:** 09/18/2015
- **Last updated:** 01/12/2016