Organization
PENNSYLVANIA FIRST HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLORIMAR DEJESUS (PRESIDENT)
(215) 500-9858
Entity
Organization
Contact information
Practice address
850 W ALLEGHENY AVE, PHILADELPHIA, PA 19133-2019
(215) 500-9858
(215) 228-8871
Mailing address
850 W ALLEGHENY AVE, PHILADELPHIA, PA 19133-2019
(215) 500-9858
(215) 228-8871
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1036276940001
—
PA
Enumeration date
08/21/2019
Last updated
11/14/2019
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