| Home Health Agency | |
|
8701 W Chester Pike Upper Darby PA 19082-1236 | |
| (484) 454-3905 | |
| (484) 454-3907 |
| Full Name | Home Health Agency |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 8701 W Chester Pike, Upper Darby, Pennsylvania |
| Authorized Official Name and Position | Valentine Nintai Nunyi (PRESIDENT/ CEO) |
| Authorized Official Contact | 2404613931 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Home Health Agency 12921 Vicar Woods Ln Bowie MD 20720-4784 Ph: (240) 461-3931 | Home Health Agency 8701 W Chester Pike Upper Darby PA 19082-1236 Ph: (484) 454-3905 |
| NPI Number | 1588094205 |
|---|---|
| Provider Enumeration Date | 11/15/2013 |
| Last Update Date | 11/12/2014 |
| Medicare PECOS PAC ID | 9234351008 |
|---|---|
| Medicare Enrollment ID | O20210310000588 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588094205 | NPI | - | NPPES |
| 2089 | Other | PA | HOME HEALTH AGENCY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (Virginia) | Primary |
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