Organization
ELAINE E. CLARK CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JHAZZMIN PORTER (PRESIDENT)
(267) 423-6022
Entity
Organization
Contact information
Practice address
6027 ELLSWORTH ST, PHILADELPHIA, PA 19143-2330
(267) 334-9151
Mailing address
6027 ELLSWORTH ST, PHILADELPHIA, PA 19143-2330
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
02/26/2021
Last updated
02/26/2021
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