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Organization
COMPASSIONATE CARETAKERS HOMECARE AGENCY
Active
Organization
COMPASSIONATE CARETAKERS HOMECARE AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTENA WALLACE LPN (OWNER)
(215) 420-9720
Entity
Organization
Contact information
Practice address
2439 N COLLEGE AVE APT 5, PHILADELPHIA, PA 19121-4845
(215) 420-9720
Mailing address
2439 N COLLEGE AVE UNIT 5, PHILADELPHIA, PA 19121-4845
(215) 420-9720
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
34753601
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3475
NON SKILLED CARE
PA
Enumeration date
09/01/2017
Last updated
07/21/2022
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