Organization
DUCOR HOME HEALTH CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MANOLA MASSAQUOI (PRESIDENT)
(267) 269-0938
Entity
Organization
Contact information
Practice address
302 LAKESIDE DR, SOUTHAMPTON, PA 18966
(267) 269-0938
Mailing address
302 LAKESIDE DR, SOUTHAMPTON, PA 18966
(267) 269-0938
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
01/05/2022
Last updated
08/03/2022
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