Provider Demographics
NPI:1467670562
Name:GENERAL HEALTH CARE
Entity Type:Organization
Organization Name:GENERAL HEALTH CARE
Other - Org Name:GENERAL HEALTH CARE
Other - Org Type:Other Name
Authorized Official - Title/Position:PHARMACY TECH.
Authorized Official - Prefix:MR
Authorized Official - First Name:LANCE
Authorized Official - Middle Name:EASTWOOD
Authorized Official - Last Name:MOORE
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:215-991-6496
Mailing Address - Street 1:133 E DUVAL ST
Mailing Address - Street 2:
Mailing Address - City:PHILA
Mailing Address - State:PA
Mailing Address - Zip Code:19144-1923
Mailing Address - Country:US
Mailing Address - Phone:215-991-6496
Mailing Address - Fax:
Practice Address - Street 1:133 E DUVAL ST
Practice Address - Street 2:
Practice Address - City:PHILA
Practice Address - State:PA
Practice Address - Zip Code:19144-1923
Practice Address - Country:US
Practice Address - Phone:215-991-6496
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251F00000XAgenciesHome Infusion