Organization
MARSHANNIE'S HOME CARE, LLC
Active
Other names
MarShannie's Home Care, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
GRISHANNIE RODRIGUEZ GONZALEZ (DIRECTOR)
(267) 603-7888
Entity
Organization
Contact information
Practice address
2143 N FRONT STREET, PHILADELPHIA, PA 19122
(267) 603-7888
Mailing address
2143 N FRONT ST, PHILADELPHIA, PA 19122-1749
(267) 603-7888
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103622858-0001
—
PA
Enumeration date
10/01/2019
Last updated
02/18/2020
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