MEDICARE: PARTNERS IN CARE AT HOME LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency	30733601	PA

General Provider Information

NPI Number	:	1700335486
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PARTNERS IN CARE AT HOME LLC

Provider Business Mailing Address
First Line	:	512 N 67TH STREET
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19151-3610
Country	:	US
Telephone Number	:	215-747-0309
Fax Number	:

Provider Business Practice Location Address
First Line	:	850 WEST CHESTER PIKE
Second Line	:
City	:	HAVERTOWN
State	:	PA
Zip	:	19083-4400
Country	:	US
Telephone Number	:	215-747-0309
Fax Number	:

Authorized Official
Title or Position	:	OWNER/PRESIDENT
Name	:	SNELL GRAND-PIERRE
Credential	:
Telephone Number	:	215-747-0309

Provider Enumeration Date	:	09/23/2016
Last Update Date	:	09/23/2016

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Directions to “PARTNERS IN CARE AT HOME LLC ” Practice Location

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