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Organization
CO-MHAR INC.
Active
Organization
CO-MHAR INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATHEW ELAVUMKAL (CEO)
(215) 203-3000
Entity
Organization
Contact information
Practice address
2824 COTTMAN AVE, PHILADELPHIA, PA 19149-1400
(215) 543-9020
Mailing address
100 W LEHIGH AVE, PHILADELPHIA, PA 19133-4097
(215) 203-3000
(215) 203-3089
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01573798-02
AMERICHOICE
PA
05
—
1000004060096
—
PA
01
—
1017568
ANCILLARY CARE MANAGEMENT
PA
01
—
20330
HEALTH PARTNERS
PA
01
—
52886
AETNA US HEALTHCARE
PA
01
—
9828
ELDER HEALTH
PA
Enumeration date
02/02/2007
Last updated
05/13/2010
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