Organization
COMPASSIONATE PROVIDER CARE AGENCY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLIE BROWN (PRESIDENT/CEO)
(610) 991-6345
Entity
Organization
Contact information
Practice address
306 ROBERTA AVE, COLLINGDALE, PA 19023-3216
(610) 991-6345
Mailing address
306 ROBERTA AVE, COLLINGDALE, PA 19023-3216
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
29893601
PA
Other
Enumeration date
05/12/2016
Last updated
05/12/2016
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