Organization
SOUTHWOOD HOME SERVICES, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GIGI MONIQUE SOUTHWOOD-LONG (CEO)
(267) 901-1635
Entity
Organization
Contact information
Practice address
1354 WELLS ST, PHILADELPHIA, PA 19111-4922
(484) 358-6379
Mailing address
4640 E ROOSEVELT BLVD STE 3, PHILADELPHIA, PA 19124-2300
(267) 901-1635
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
04/12/2023
Last updated
09/26/2023
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