Provider Demographics
NPI:1003214545
Name:CHARITY CARE HOME HEALTH AGENCY
Entity Type:Organization
Organization Name:CHARITY CARE HOME HEALTH AGENCY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:FOLUKE
Authorized Official - Middle Name:M
Authorized Official - Last Name:CLARKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-809-5879
Mailing Address - Street 1:320 CLIFTON AVE
Mailing Address - Street 2:
Mailing Address - City:SHARON HILL
Mailing Address - State:PA
Mailing Address - Zip Code:19079-2005
Mailing Address - Country:US
Mailing Address - Phone:610-809-5871
Mailing Address - Fax:
Practice Address - Street 1:320 CLIFTON AVE
Practice Address - Street 2:
Practice Address - City:SHARON HILL
Practice Address - State:PA
Practice Address - Zip Code:19079-2005
Practice Address - Country:US
Practice Address - Phone:610-809-5871
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-16
Last Update Date:2014-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health