Organization
CHARLES HOMECARE AND NURSING SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LETICIA AMANDA ROSS MBA (CEO)
(609) 647-5936
Entity
Organization
Contact information
Practice address
5931 OGONTZ AVE, PHILADELPHIA, PA 19141-1357
(267) 815-4749
Mailing address
5931 OGONTZ AVE, PHILADELPHIA, PA 19141-1357
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
—
—
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
02/24/2020
Last updated
02/24/2020
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