Organization
CITIZENS HOME CARE AGENCY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BOSE ODUWAIYE (OWNER / VICE PRESIDENT)
(215) 200-1520
Entity
Organization
Contact information
Practice address
885 N 66TH ST, PHILADELPHIA, PA 19151-3331
(215) 200-1520
Mailing address
885 N 66TH ST, PHILADELPHIA, PA 19151-3331
(215) 200-1520
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
08/01/2018
Last updated
08/01/2018
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