Organization
GOLDEN DIVE HOME CARE AGENCY, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
QUIANA MCDOWELL (PRESIDENT)
(302) 853-7831
Entity
Organization
Contact information
Practice address
6336 SUMMERDALE AVE, PHILADELPHIA, PA 19111-5840
(302) 853-7831
Mailing address
6336 SUMMERDALE AVE, PHILADELPHIA, PA 19111-5840
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
02/19/2020
Last updated
02/19/2020
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