Organization
WILSON AND GRAY HOME CARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA IRVIN-GRAY (PRESIDENT)
(215) 888-4077
Entity
Organization
Contact information
Practice address
5119 CHESTER AVE, PHILADELPHIA, PA 19143-4347
(215) 888-4077
Mailing address
5119 CHESTER AVE, PHILADELPHIA, PA 19143-4347
(215) 888-4077
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
11/03/2020
Last updated
11/03/2020
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