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Organization
AIDEWELL HOME CARE, LLC.
Active
Organization
AIDEWELL HOME CARE, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUSTAM SHALMIYEV (PRESIDENT)
(215) 516-7777
Entity
Organization
Contact information
Practice address
1335 W TABOR RD STE 306, PHILADELPHIA, PA 19141-3041
(215) 516-7777
(267) 335-4611
Mailing address
1335 W TABOR RD STE 306, PHILADELPHIA, PA 19141-3041
(215) 516-7777
(267) 335-4611
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
07/25/2019
Last updated
12/09/2020
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