Organization
FIDELITY HOME HEALTH LLC
Active
Other names
Home Care Agency
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. YELENA KUZNETSOV RN (DIRECTOR OF NURSING)
(215) 710-0515
Entity
Organization
Contact information
Practice address
139 BUSTLETON PIKE, FEASTERVILLE TREVOSE, PA 19053-6467
(215) 710-0515
(215) 710-0258
Mailing address
83 BUSTLETON PIKE UNIT C, FEASTERVILLE TREVOSE, PA 19053-6465
(215) 710-0515
(215) 710-0258
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
04880501
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102852380
—
PA
Enumeration date
01/31/2013
Last updated
11/26/2019
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