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Organization

CC HOME CARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MEDITH CHARLES (OWNER/PRESIDENT)
(267) 304-6775
Entity
Organization

Contact information

Practice address
1102 W SOMERVILLE AVE, PHILADELPHIA, PA 19141-2904
(267) 331-5253
Mailing address
9713 BEREA ST, PHILADELPHIA, PA 19114-1723

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary

Other

Enumeration date
09/06/2019
Last updated
09/06/2019
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