Provider Demographics
NPI:1932664133
Name:PROCURE HOME HEALTH LLC
Entity Type:Organization
Organization Name:PROCURE HOME HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:GWENDOLYN
Authorized Official - Middle Name:
Authorized Official - Last Name:BING
Authorized Official - Suffix:
Authorized Official - Credentials:BSN
Authorized Official - Phone:215-783-3141
Mailing Address - Street 1:475 RICES MILL RD
Mailing Address - Street 2:
Mailing Address - City:WYNCOTE
Mailing Address - State:PA
Mailing Address - Zip Code:19095-2037
Mailing Address - Country:US
Mailing Address - Phone:215-783-3141
Mailing Address - Fax:
Practice Address - Street 1:475 RICES MILL RD
Practice Address - Street 2:
Practice Address - City:WYNCOTE
Practice Address - State:PA
Practice Address - Zip Code:19095-2037
Practice Address - Country:US
Practice Address - Phone:215-783-3141
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-01
Last Update Date:2019-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health