NPI 1003356452

Personal Care Home C&g, INC

Organisation Primary Care Clinic/Center Philadelphia, PA

Practice location

Address: 4104 N 5th St, Philadelphia, PA 19140-2614
Phone: (215) 223-0200
Mailing address: 6176 Newtown Ave, Philadelphia, PA 19111-5928

Authorised official

Name: Samuel Quartey
Title: Medical Director
Phone: (215) 471-1407

Registered specialties (4)

Primary Care Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QP2300X

Other Clinic/Center providers in Pennsylvania →

Home Health Agency

Agencies Taxonomy 251E00000X

Other Home Health providers in Pennsylvania →

Clinic/Center

Ambulatory Health Care Facilities Taxonomy 261Q00000X

Adult Care Home Facility

Nursing & Custodial Care Facilities Taxonomy 311ZA0620X

Other Custodial Care Facility providers in Pennsylvania →

Registry record

NPI: 1003356452
Entity type: Organization
NPI issued: 5 Mar 2017
Record last updated: 3 Mar 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.