Organization
GREENLEAFHOMECARES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DORCAS OLUWATOYIN FABODE (DIRECTOR OF NURSING)
(215) 375-8298
Entity
Organization
Contact information
Practice address
5911 CHARLES ST, PHILADELPHIA, PA 19135-3810
(215) 375-8298
Mailing address
5911 CHARLES ST, PHILADELPHIA, PA 19135-3810
(215) 375-8298
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
01/13/2022
Last updated
01/13/2022
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