Organization
CIVIL HOMECARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY O'NEILL (PRESIDENT)
(215) 820-8496
Entity
Organization
Contact information
Practice address
7943 FAYETTE ST, PHILADELPHIA, PA 19150-2103
(215) 820-8496
Mailing address
7943 FAYETTE ST, PHILADELPHIA, PA 19150-2103
(215) 820-8496
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
06/24/2021
Last updated
06/24/2021
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