Organization
CROWN CARE MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WALLACE REGINALD KING III (OWNER)
(610) 368-4033
Entity
Organization
Contact information
Practice address
1000 E CHELTEN AVE UNIT 1A, PHILADELPHIA, PA 19138-1839
(610) 368-4033
(833) 378-4601
Mailing address
1000 E CHELTEN AVE UNIT 1A, PHILADELPHIA, PA 19138-1839
(610) 368-4033
(833) 378-4601
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
04/22/2026
Last updated
04/22/2026
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