Organization
PATRIOTCARE HOME SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUEDUKA GIBBS (ADMINISTRATOR)
(267) 945-5275
Entity
Organization
Contact information
Practice address
11880 BUSTLETON AVE, SUITE 304, PHILADELPHIA, PA 19116-2538
(267) 945-5275
Mailing address
11880 BUSTLETON AVE, SUITE 304, PHILADELPHIA, PA 19116-2538
(267) 945-5275
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
32213601
PA
Other
Enumeration date
02/22/2017
Last updated
02/22/2017
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