Organization
B & S HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHENIKA LEE (OWNER)
(215) 763-0401
Entity
Organization
Contact information
Practice address
2132 RIDGE AVE # 1, PHILADELPHIA, PA 19121-2937
(215) 763-0401
Mailing address
2132 RIDGE AVE # 1, PHILADELPHIA, PA 19121-2937
(215) 763-0401
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
36113601
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103503033
—
PA
Enumeration date
07/20/2018
Last updated
07/20/2018
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