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Organization

PATRIOT HOME CARE, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
VOLODYMIR MATKIVSKI (DIRECTOR)
(877) 535-5550
Entity
Organization

Contact information

Practice address
239 4TH AVE STE 1005, PITTSBURGH, PA 15222-1706
(412) 274-8080
(412) 235-7419
Mailing address
5700 N BROAD ST STE 3, PHILADELPHIA, PA 19141-2324
(877) 535-5550
(267) 871-8028

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
103000160-0003
PA
Enumeration date
10/17/2018
Last updated
10/17/2018
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