Organization
PGB HOME HEALTHCARE AGENCY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETA BLACK (PRESIDENT)
(267) 678-9350
Entity
Organization
Contact information
Practice address
213 E CLAREMONT RD, PHILADELPHIA, PA 19120-1013
(267) 678-9350
Mailing address
213 E CLAREMONT RD, PHILADELPHIA, PA 19120-1013
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
07/21/2022
Last updated
07/21/2022
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