Organization
P.H.O.B. HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLI CLARK (PRESIDENT)
(267) 250-2169
Entity
Organization
Contact information
Practice address
8200 HENRY AVE APT A4, PHILADELPHIA, PA 19128-2934
(267) 250-2169
Mailing address
8200 HENRY AVE APT A4, PHILADELPHIA, PA 19128-2934
(267) 250-2169
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
07/08/2021
Last updated
07/08/2021
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