Organization
GOLD MIND HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LASHAY BOSEMAN- FRIPPS (ADMINISTRATOR)
(215) 888-1761
Entity
Organization
Contact information
Practice address
1741 E TULPEHOCKEN ST, PHILADELPHIA, PA 19138-1603
(215) 888-1761
Mailing address
1741 E TULPEHOCKEN ST, PHILADELPHIA, PA 19138-1603
(215) 888-1761
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
376J00000X
Homemaker
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
01/29/2022
Last updated
01/29/2022
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