MEDICARE: PRESERVE HOME 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
1	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1871153254
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PRESERVE HOME CARE LLC

Provider Business Mailing Address
First Line	:	2263 YELLAND ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19140-2822
Country	:	US
Telephone Number	:	215-275-8875
Fax Number	:

Provider Business Practice Location Address
First Line	:	2263 YELLAND ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19140-2822
Country	:	US
Telephone Number	:	215-275-8875
Fax Number	:

Authorized Official
Title or Position	:	OWNER / PRESIDENT
Name	:	RASHONDA ALEXANDER
Credential	:
Telephone Number	:	215-275-8875

Provider Enumeration Date	:	06/18/2019
Last Update Date	:	06/18/2019

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Directions to “PRESERVE HOME CARE LLC ” Practice Location

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