Organization
GENTLE CARE NURSING SERVICE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SPADRINE MAVIS CLARKE (OWNER)
(215) 927-0958
Entity
Organization
Contact information
Practice address
2479 78TH AVE, PHILADELPHIA, PA 19150-1824
(215) 927-0958
Mailing address
2479 78TH AVE, PHILADELPHIA, PA 19150-1824
(215) 927-0958
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
10573601
PA
Other
Enumeration date
09/18/2015
Last updated
01/12/2016
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