MEDICARE: ALLBOROGH PERSONAL CARE INC.

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	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1164820858
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALLBOROGH PERSONAL CARE INC.

Provider Business Mailing Address
First Line	:	1322 E 69TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11234-5703
Country	:	US
Telephone Number	:	347-247-7696
Fax Number	:

Provider Business Practice Location Address
First Line	:	1650 MARKET ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19103-7301
Country	:	US
Telephone Number	:	347-247-7696
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	JOSEPHINE PRINSTON
Credential	:
Telephone Number	:	347-247-7696

Provider Enumeration Date	:	12/11/2014
Last Update Date	:	11/25/2024

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