Organization
CARE CLIQ HOME CARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANTA MCGOUGH (PRESIDENT)
(215) 930-6963
Entity
Organization
Contact information
Practice address
5419 LEBANON AVE, PHILADELPHIA, PA 19131
(215) 930-6963
Mailing address
1005 PONTIAC RD STE 458, DREXEL HILL, PA 19026-4816
(215) 930-6963
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
07/12/2021
Last updated
07/12/2021
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