| NPI | 1003627142 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK DEMETRY CHARLES Sole Member 215-494-0100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 101Y00000X Counselor |
| 174200000X Meals | |
| 177F00000X Lodging | |
| 251E00000X Home Health | |
| 310400000X Assisted Living Facility | |
| 311Z00000X Custodial Care Facility | |
| 343800000X Secured Medical Transport (VAN) | |
| 347C00000X Private Vehicle | |
| 372500000X Chore Provider | |
| 372600000X Adult Companion | |
| 3747A0650X Technician, Attendant Care Provider | |
| 3747P1801X Technician, Personal Care Attendant | |
| 376G00000X Nursing Home Administrator | |
| 376K00000X Nurse's Aide | |
| Enumeration Date | 2025-01-17 |
| Last Update Date | 2025-04-11 |