Organization
SHADY PINES MA INC.
Active
Other names
Qualicare Home Care King of Prussia, West Chester & Media
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RYAN IGBANOL (OWNER & ADMINISTRATOR)
(267) 316-8727
Entity
Organization
Contact information
Practice address
426 W GAY ST, WEST CHESTER, PA 19380-2801
(484) 639-9997
Mailing address
426 W GAY ST, WEST CHESTER, PA 19380-2801
(484) 639-9997
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
08/19/2025
Last updated
08/19/2025
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