# CODE PINK PROVIDER CARE AGENCY LLC

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

## Provider details

- **NPI number:** 1639763626
- **Authorized official:** QUIANNA JOHNSON (PRESIDENT)
- **Authorized official phone:** (267) 858-8205

## Contact information

- **Practice address:** 222 WRIGHT AVE, DARBY, PA 19023-2327
- **Practice address phone:** (267) 858-8205
- **Mailing address:** 222 WRIGHT AVE, DARBY, PA 19023-2327

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 02/22/2021
- **Last updated:** 02/22/2021