Organization
PAULINE'S HOME CARE & MANAGEMENT SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACKLYNN B JOHNSON (CEO/OWNER)
(267) 422-3950
Entity
Organization
Contact information
Practice address
12 W WILLOW GROVE AVE, PHILADELPHIA, PA 19118-3952
(267) 422-3950
(215) 543-3344
Mailing address
901 E PLEASANT AVE APT 6A, WYNDMOOR, PA 19038-8039
(267) 584-2852
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
10/06/2017
Last updated
10/06/2017
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