Organization
AG HOME CARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY F GRAVES CRT, R.N (REGISTERED NURSE/OWNER)
(215) 473-2030
Entity
Organization
Contact information
Practice address
1469 N 60TH ST, PHILADELPHIA, PA 19151-4204
(215) 473-2030
(215) 473-2031
Mailing address
1469 N 60TH ST, PHILADELPHIA, PA 19151-4204
(215) 473-2030
(215) 473-2031
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
600854
PA
Other
Enumeration date
02/25/2015
Last updated
02/25/2015
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