Organization
AMERICAN LIBERTY HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JERMAINE DAMIAN PARKS (OWNER)
(267) 304-3580
Entity
Organization
Contact information
Practice address
12134 MEDFORD RD, PHILADELPHIA, PA 19154-1825
(267) 304-3580
Mailing address
4410 PAUL ST UNIT 4827, PHILADELPHIA, PA 19124-3759
(267) 304-3580
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
11/20/2020
Last updated
11/20/2020
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