Organization
PENNSYLVANIA HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GRETCHEN DONNA THAME SALLEY RN (OWNER)
(267) 346-5505
Entity
Organization
Contact information
Practice address
352 MAPLE AVE, GLENSIDE, PA 19038-2212
(267) 356-5505
Mailing address
352 MAPLE AVE, GLENSIDE, PA 19038-2212
(267) 356-5505
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
03/07/2018
Last updated
03/07/2018
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