Organization
PRUDENTIACARE HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAVON MARIE PATTERSON (OWNER)
(267) 634-1479
Entity
Organization
Contact information
Practice address
1735 MARKET ST STE 3750, PHILADELPHIA, PA 19103-7532
(267) 507-6030
(267) 504-6150
Mailing address
1735 MARKET STREET, STE 3750, PHILADELPHIA, PA 19103
(267) 507-6030
(267) 504-6150
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
06/26/2014
Last updated
06/26/2014
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