Organization
PERSONAL CARE HOME C&G MEDICAL CLINIC, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KARIMA PARSON-WRIGHT (AUTHORIZED OFFICIAL)
(445) 223-3812
Entity
Organization
Contact information
Practice address
4104 N 5TH ST, PHILADELPHIA, PA 19140-2614
(445) 223-3812
(445) 223-1770
Mailing address
4104 N 5TH ST, PHILADELPHIA, PA 19140-2614
(445) 223-3812
(445) 223-1770
Taxonomy
Speciality
Code
Description
License number
State
2472R0900X
Renal Dialysis Technician
—
—
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
10/15/2024
Last updated
10/17/2024
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