Organization
INDEPENDENT HOME CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANNA KRUPOVLYANSKAYA (CEO)
(215) 322-4353
Entity
Organization
Contact information
Practice address
9892 BUSTLETON AVE, SUITE 203, PHILADELPHIA, PA 19115-2184
(215) 322-4353
(215) 322-4354
Mailing address
9892 BUSTLETON AVE, SUITE 203, PHILADELPHIA, PA 19115-2184
(215) 322-4353
(215) 322-4354
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
12/17/2007
Last updated
01/11/2011
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