Organization
STAGES HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATIRIA GOTAY (OWNER/ADMINISTRATOR)
(267) 423-5312
Entity
Organization
Contact information
Practice address
5136 N 4TH ST, PHILADELPHIA, PA 19120-3337
(267) 423-5312
Mailing address
5136 N 4TH ST, PHILADELPHIA, PA 19120-3337
(267) 423-5312
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
05/03/2021
Last updated
05/03/2021
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