Organization
NBRACE SUPPORT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE JOHNSON (CEO)
(267) 970-6569
Entity
Organization
Contact information
Practice address
2543 N SPANGLER ST, PHILADELPHIA, PA 19132-2838
(267) 970-6569
Mailing address
2543 N SPANGLER ST, PHILADELPHIA, PA 19132-2838
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
05/01/2025
Last updated
05/01/2025
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