Organization
PROFESSIONAL COMMUNITY HOME CARE AGENCY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE GRAHAM (PRESIDENT)
(267) 780-9384
Entity
Organization
Contact information
Practice address
4659 OAKLAND ST, PHILADELPHIA, PA 19124-3125
(267) 780-9384
Mailing address
4659 OAKLAND ST, PHILADELPHIA, PA 19124-3125
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
01/18/2023
Last updated
01/18/2023
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