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Organization

NUOVO RESIDENTIAL ASSISTED LIVING

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARCIA GBATU (OWNER)
(484) 522-1111
Entity
Organization

Contact information

Practice address
6419 CARLTON ST, PHILADELPHIA, PA 19139-1013
(484) 522-1111
Mailing address
5610 ADDISON ST, PHILADELPHIA, PA 19143-1308
(484) 522-1111

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
251S00000X
Community/Behavioral Health Agency
253Z00000X
In Home Supportive Care Agency
Primary

Other

Enumeration date
02/07/2025
Last updated
01/21/2026
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