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Organization
CHARLES HOMECARE AND NURSING SERVICE
Active
Organization
CHARLES HOMECARE AND NURSING SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LETICIA AMANDA ROSS MBA (CEO)
(609) 647-5936
Entity
Organization
Contact information
Practice address
5931 OGONTZ AVE, PHILADELPHIA, PA 19141-1357
(267) 815-4749
Mailing address
5931 OGONTZ AVE, PHILADELPHIA, PA 19141-1357
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
—
—
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
02/24/2020
Last updated
02/24/2020
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