Provider Demographics
NPI:1598520447
Name:DEBORAH CARE LLC
Entity type:Organization
Organization Name:DEBORAH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KHADIRAH
Authorized Official - Middle Name:
Authorized Official - Last Name:HARPER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-851-2651
Mailing Address - Street 1:145 E SWEDESFORD RD # 1043
Mailing Address - Street 2:
Mailing Address - City:WAYNE
Mailing Address - State:PA
Mailing Address - Zip Code:19087-1455
Mailing Address - Country:US
Mailing Address - Phone:215-851-2651
Mailing Address - Fax:
Practice Address - Street 1:1 MARINA PARK DR STE 1410
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02210-1874
Practice Address - Country:US
Practice Address - Phone:617-300-7272
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-20
Last Update Date:2024-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care