Organization
BOOM CARE LLC
Active
Other names
BOOM CARE LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. M JACOBOWITZ (PRES)
(347) 528-0890
Entity
Organization
Contact information
Practice address
30 S 17TH ST FL 13, PHILADELPHIA, PA 19103-4001
(347) 528-0890
Mailing address
30 S 17TH ST FL 13, PHILADELPHIA, PA 19103-4001
(347) 528-0890
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
11/11/2020
Last updated
11/11/2020
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