Organization
PATRIOTCARE HOME SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS SUEDUKA GIBBS MBA (DIRECTOR)
(302) 465-2261
Entity
Organization
Contact information
Practice address
1700 MARKET ST, SUITE 1005, PHILADELPHIA, PA 19103-3913
(302) 465-2261
Mailing address
1700 MARKET ST, SUITE 1005, PHILADELPHIA, PA 19103-3913
(302) 465-2261
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
376J00000X
—
PA
Enumeration date
07/08/2016
Last updated
07/08/2016
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