Organization
NOBILITY FIRST PRIMARY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON FOGLE (PRESIDENT)
(267) 401-4474
Entity
Organization
Contact information
Practice address
2508 W HUNTINGDON ST, PHILADELPHIA, PA 19132-3633
(267) 401-4474
Mailing address
2508 W HUNTINGDON ST, PHILADELPHIA, PA 19132-3633
(267) 401-4474
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
10/12/2021
Last updated
10/12/2021
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