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Organization

CHERISHED CONTINUING CARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. NICOLE BLACKSTOCK (CASE MANAGER/CARE COORDINATOR)
(267) 975-8965
Entity
Organization

Contact information

Practice address
7867 PROVIDENT RD, PHILADELPHIA, PA 19150-1322
(267) 975-8965
Mailing address
7867 PROVIDENT RD, PHILADELPHIA, PA 19150-1322
(267) 975-8965

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
251B00000X
Case Management Agency

Other

Enumeration date
11/08/2017
Last updated
11/08/2017
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