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Organization
DOR TO DOR HOME CARE
Active
Organization
DOR TO DOR HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ENEL DORSAINVIL (CHIEF EXECUTIVE OFFICER)
(267) 423-8941
Entity
Organization
Contact information
Practice address
6324 SHELBOURNE ST, PHILADELPHIA, PA 19111-5615
(215) 668-5769
Mailing address
6324 SHELBOURNE ST, PHILADELPHIA, PA 19111-5615
(215) 668-5769
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
28913601
PA
Other
Enumeration date
10/09/2015
Last updated
09/01/2016
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