Organization
SAFE HARBOR 2 HOME CARE AGENCY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHIQUITA MCGOUGH (OWNER)
(215) 430-3032
Entity
Organization
Contact information
Practice address
2418 N 15TH ST, PHILADELPHIA, PA 19132-4435
(215) 430-3032
Mailing address
2418 N 15TH ST, PHILADELPHIA, PA 19132-4435
(215) 430-3032
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1037276080001
—
PA
Enumeration date
05/15/2020
Last updated
05/15/2020
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