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Organization
ACT HOME HEALTH SERVICES, INC
Active
Organization
ACT HOME HEALTH SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAXIMA HUI CPA (VICE PRESIDENT/CFO)
(215) 708-1191
Entity
Organization
Contact information
Practice address
1121 S 11TH ST, PHILADELPHIA, PA 19147-4601
(215) 389-1800
(215) 389-1899
Mailing address
1121 S 11TH ST, PHILADELPHIA, PA 19147-4601
(215) 389-1800
(215) 389-1899
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
02530501
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101397666-0003
—
PA
01
—
30030869
KEYSTONE MERCY HEALTH PLA
PA
01
—
36121
HEALTH PARTNERS SITE NO.
PA
01
—
X0030595-01
AMERICHOICE PROVIDER NO.
PA
Enumeration date
07/07/2006
Last updated
10/03/2007
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