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Organization
PENROSE HOME CARE LLC
Active
Organization
PENROSE HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MD DOSTGIR KHAN NOFAYEL (OWNER/MANAGING MEMBER)
(267) 367-0123
Entity
Organization
Contact information
Practice address
13137 CHAMPAIGN AVE, WARREN, MI 48089-4504
(267) 367-0123
Mailing address
2137 HARTEL AVE, PHILADELPHIA, PA 19152-3706
(267) 367-0123
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
NULL
Other
Enumeration date
08/17/2026
Last updated
08/17/2026
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