Organization
GENTLE HEARTS HOME CARE AGENCY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOUISE GREEN OWNER (PRESIDENT)
(610) 626-1893
Entity
Organization
Contact information
Practice address
703 CENTRAL AVE, PRIMOS, PA 19018-2116
(610) 626-1893
(610) 622-2918
Mailing address
703 CENTRAL AVE, PRIMOS, PA 19018-2116
(610) 626-1893
(610) 622-2918
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
103078500-001
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103078500-0001
—
PA
Enumeration date
07/21/2017
Last updated
07/21/2022
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