Organization
LIYAH CARE HOMECARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AUGUSTIN POMBO (ADMINISTRATOR)
(717) 963-7511
Entity
Organization
Contact information
Practice address
301 N. PROGRESS AVE, #C5, HARRISBURG, PA 17109
(717) 963-7511
(717) 603-3664
Mailing address
301 N. PROGRESS AVE, #C5, HARRISBURG, PA 17109
(717) 963-7511
(717) 603-3667
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
35033601
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
35033601
DEPARTMENT OF HEALTH
PA
Enumeration date
11/08/2017
Last updated
11/08/2017
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