Individual
RUTH BASCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
334 MAGEE AVE, PHILADELPHIA, PA 19111-4617
(267) 368-1933
Mailing address
334 MAGEE AVE, PHILADELPHIA, PA 19111-4617
(267) 368-1933
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
25183601
PA
Other
Enumeration date
04/03/2014
Last updated
04/03/2014
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