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Organization
PENNSYLVANIA HOME CARE
Active
Organization
PENNSYLVANIA HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTHONY P ANGELO (VICE PRESIDENT- COMPLIANCE)
(610) 205-2440
Entity
Organization
Contact information
Practice address
620 FREEDOM BUSINESS CTR DR, SUITE 105, KING OF PRUSSIA, PA 19406-1330
(610) 205-2440
(610) 205-2468
Mailing address
620 FREEDOM BUSINESS CTR DR, SUITE 105, KING OF PRUSSIA, PA 19406-1330
(610) 205-2440
(610) 205-2468
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0007783000
FEDERAL BC
PA
01
—
2333
AETNA
PA
01
—
287470
AMERIHEALTH MERCY
PA
01
—
397190
FEDERAL PLAN FEP 104 &105
PA
01
—
802384
FIRST PRIORITY HMO
PA
01
—
B821
AMERIHEALTH ADMIN
PA
01
—
C09743
AMERIHEALTH ADMIN
PA
Enumeration date
09/19/2005
Last updated
10/02/2008
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