Organization
PROUD HEARTS HOME CARE AGENCY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELY LOGAN (OWNER)
(908) 267-0043
Entity
Organization
Contact information
Practice address
1039 W SCHILLER ST, PHILADELPHIA, PA 19140
(908) 267-0043
(732) 374-4094
Mailing address
429 DANBURY LN, EAST BRUNSWICK, NJ 08816-5116
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
11/13/2023
Last updated
04/23/2024
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