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Organization

PREBEN HOMECARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DOUGLAS BALOGUN (OWNER / PRESIDENT / ADMINISTRATOR)
(267) 367-8613
Entity
Organization

Contact information

Practice address
1962 PRATT ST, PHILADELPHIA, PA 19124-2135
(267) 367-8613
Mailing address
1962 PRATT ST, PHILADELPHIA, PA 19124-2135
(267) 367-8613

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary

Other

Enumeration date
08/09/2022
Last updated
11/23/2022
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