Organization
PRUDENTIACARE HOME HEALTH SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAVON PATTERSON (CE0)
(888) 978-5109
Entity
Organization
Contact information
Practice address
1 INTERNATIONAL PLZ # 517, PHILADELPHIA, PA 19113-1510
(888) 978-5109
(888) 978-5109
Mailing address
1 INTERNATIONAL PLZ # 517, PHILADELPHIA, PA 19113-1510
(888) 978-5109
(888) 978-5109
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
11/22/2019
Last updated
11/22/2019
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