Organization
LOVE AND GLORY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATHEW SAMUEL (DIRECTOR)
(215) 667-4200
Entity
Organization
Contact information
Practice address
664 LAWLER ST, PHILADELPHIA, PA 19116-3336
(215) 667-4200
Mailing address
664 LAWLER ST, PHILADELPHIA, PA 19116-3336
(215) 667-4200
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
103484303-0001
PA
Other
Enumeration date
06/19/2018
Last updated
06/19/2018
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