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Organization
PROFESSIONAL HOME HEALTH SERVICES, INC
Active
Organization
PROFESSIONAL HOME HEALTH SERVICES, INC
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
2145 S DUPONT HWY, DOVER, DE 19901-5561
(302) 697-7125
(302) 697-7257
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
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000045714
—
DE
05
—
0000768314
—
DE
01
—
0004963000
KEYSTONE HEALTH PLAN EAST
DE
01
—
1058
MIDATLANTIC HEALTH PLAN
DE
01
—
157994
BC/BS OF DELAWARE
DE
01
—
2333
AETNA
DE
05
—
236383601
—
MD
01
—
243654
MAMSI
DE
01
—
BB82
CAREFIRST
DE
Enumeration date
09/19/2005
Last updated
05/19/2008
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