Organization
MOTHER 2 DAUGHTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE RICKS (ADMINISTRATOR)
(215) 880-3557
Entity
Organization
Contact information
Practice address
5212 PENNWAY ST, PHILADELPHIA, PA 19124-3002
(215) 880-3557
Mailing address
PO BOX 45059, PHILADELPHIA, PA 19124-8059
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
07/11/2023
Last updated
07/13/2023
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