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Organization

BY YOUR SIDE HOME CARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GABRIELLE TAYLOR (OWNER)
(267) 252-5331
Entity
Organization

Contact information

Practice address
245 W ZERALDA ST, PHILADELPHIA, PA 19144-4212
(267) 252-5331
Mailing address
245 W ZERALDA ST, PHILADELPHIA, PA 19144-4212
(267) 252-5331

Taxonomy

Speciality
Code
Description
License number
State
372600000X
Adult Companion
374U00000X
Home Health Aide
Primary
376J00000X
Homemaker

Other

Enumeration date
06/12/2019
Last updated
06/12/2019
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