| Bcc Personal Care Home Llc | |
|
205 Krewson Ter Willow Grove PA 19090-3517 | |
| (215) 494-0100 | |
| Not Available |
| Full Name | Bcc Personal Care Home Llc |
|---|---|
| Speciality | In Home Supportive Care |
| Location | 205 Krewson Ter, Willow Grove, Pennsylvania |
| Authorized Official Name and Position | Patrick Demetry Charles (SOLE MEMBER) |
| Authorized Official Contact | 2154940100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bcc Personal Care Home Llc 205 Krewson Ter Willow Grove PA 19090-3517 Ph: (215) 494-0100 | Bcc Personal Care Home Llc 205 Krewson Ter Willow Grove PA 19090-3517 Ph: (215) 494-0100 |
| NPI Number | 1003627142 |
|---|---|
| Provider Enumeration Date | 01/17/2025 |
| Last Update Date | 04/11/2025 |
| Certification Date | 04/11/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003627142 | NPI | - | NPPES |
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