Organization
INTEGRATIVE BEHAVIORAL HOMECARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROSILYN T SMITH M.D. (MEDICAL DIRECTOR)
(215) 917-3623
Entity
Organization
Contact information
Practice address
1802 PRATT ST, PHILADELPHIA, PA 19124-1428
(215) 917-3623
Mailing address
1802 PRATT ST, PHILADELPHIA, PA 19124-1428
(215) 917-3623
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
07/09/2016
Last updated
08/28/2019
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