Organization
PERSONAL CARE COORDINATION AGENCY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELICA GIVERTS D.C. (PRESIDENT)
(215) 327-3000
Entity
Organization
Contact information
Practice address
111 BUCK RD UNIT 100, HUNTINGDON VALLEY, PA 19006-1553
(215) 327-3000
Mailing address
111 BUCK ROAD, OFFICE 100 SUITE 1, HUNTINGDON VALLEY, PA 19006-1553
(215) 327-3000
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1030715640001
—
PA
Enumeration date
12/08/2017
Last updated
12/08/2017
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