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NPI Code Detail

MEDICARE: GLEEFUL CARE LLC

MEDICARE: GLEEFUL CARE 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
1251E00000XHome Health Agency
2253Z00000XIn Home Supportive Care Agency
3385H00000XRespite Care

General Provider Information

NPI Number : 1720936305
Entity Type Code : Organization
Provider Name (Legal Business Name) : GLEEFUL CARE LLC
Provider Business Mailing Address
First Line : 7244 CASTOR AVE # 1162
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19149-1109
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1989 PENFIELD ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19138-2728
Country : US
Telephone Number : 267-225-6320
Fax Number :
Authorized Official
Title or Position : CEO
Name : MIRLENE HILAIRE
Credential :
Telephone Number : 267-225-6320
Provider Enumeration Date : 03/19/2026
Last Update Date : 03/19/2026

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Directions to “GLEEFUL CARE LLC ” Practice Location

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