# GERIATRIC CARE ASSOCIATES, LLC

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

## Provider details

- **NPI number:** 1851558951
- **Authorized official:** DR. DARRYL B. JACKSON M.D. (MANAGMENT/OWNER)
- **Authorized official phone:** (215) 471-8255

## Contact information

- **Practice address:** 5801 SPRUCE ST, PHILADELPHIA, PA 19139-3833
- **Practice address phone:** (215) 471-8255
- **Practice address fax:** (215) 471-5506
- **Mailing address:** 5801 SPRUCE ST, PHILADELPHIA, PA 19139-3833
- **Mailing address phone:** (215) 471-8255
- **Mailing address fax:** (215) 471-5506

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | MD044865L | PA | Yes |

## Other

- **Enumeration date:** 05/18/2008
- **Last updated:** 05/18/2008