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Organization
FIDELITY HOME HEALTH LLC
Active
Organization
FIDELITY HOME HEALTH LLC
Active
Other names
Home Care Agency
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. YELENA KUZNETSOV RN (DIRECTOR OF NURSING)
(215) 710-0515
Entity
Organization
Contact information
Practice address
139 BUSTLETON PIKE, FEASTERVILLE TREVOSE, PA 19053-6467
(215) 710-0515
(215) 710-0258
Mailing address
83 BUSTLETON PIKE UNIT C, FEASTERVILLE TREVOSE, PA 19053-6465
(215) 710-0515
(215) 710-0258
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
04880501
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102852380
—
PA
Enumeration date
01/31/2013
Last updated
11/26/2019
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