Organization
JISG HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM HOLT (OWNER)
(267) 269-8997
Entity
Organization
Contact information
Practice address
1020 E CHELTENHAM AVE, PHILADELPHIA, PA 19124-1028
(267) 269-8997
Mailing address
1020 E CHELTENHAM AVE, PHILADELPHIA, PA 19124-1028
(267) 269-8997
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
54253601
LICENSE
PA
Enumeration date
03/04/2022
Last updated
03/04/2022
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