Organization
V A HOME CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IRIS TAIWO (PRESDIENT)
(484) 832-3914
Entity
Organization
Contact information
Practice address
841 E HUNTING PARK AVENUE, SUITE 210, PHILADELPHIA, PA 19124
(215) 484-0550
Mailing address
841 E HUNTING PARK AVENUE, SUITE 210, PHILADELPHIA, PA 19124
(215) 484-0550
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104144807-0001
—
PA
Enumeration date
07/19/2023
Last updated
04/16/2024
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