Individual
KEITH ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MHA, CHSP
Contact information
Practice address
225 PINE ST, GLENOLDEN, PA 19036-1005
(215) 602-0594
Mailing address
225 PINE ST, GLENOLDEN, PA 19036-1005
(215) 602-0594
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
—
372600000X
Adult Companion
Primary
—
—
374U00000X
Home Health Aide
—
—
Other
Enumeration date
04/01/2025
Last updated
04/01/2025
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