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Organization
DAVIS PERSONAL CARE HOME
Active
Organization
DAVIS PERSONAL CARE HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EULA M DAVIS (ADMINISTRATOR)
(610) 872-4162
Entity
Organization
Contact information
Practice address
1006 W 2ND ST, CHESTER, PA 19013-3614
(610) 872-4162
Mailing address
1128 W 3RD ST, CHESTER, PA 19013-3622
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
123670
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
123670
—
PA
Enumeration date
05/09/2012
Last updated
05/09/2012
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