Individual
PATRICK D GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1314 W HUNTING PARK AVE, PHILADELPHIA, PA 19140-2015
(215) 410-5348
Mailing address
1314 W HUNTING PARK AVE, PHILADELPHIA, PA 19140-2015
(856) 636-8464
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
67383601
PA
376J00000X
Homemaker
67383601
PA
385H00000X
Respite Care
67383601
PA
Other
Enumeration date
12/27/2022
Last updated
12/27/2022
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