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Organization

RELATIVE CARE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JUSTIN DUNGAN LAFAZIA (PRESIDENT)
(610) 269-2935
Entity
Organization

Contact information

Practice address
36 W LANCASTER AVE, DOWNINGTOWN, PA 19335-2877
(610) 269-2935
(610) 269-9514
Mailing address
36 W LANCASTER AVE, DOWNINGTOWN, PA 19335-2877
(610) 269-2935
(610) 269-9514

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
372600000X
Adult Companion
PA
385H00000X
Respite Care

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1019433810001
PA
05
1019433810002
PA
05
1019433810004
PA
Enumeration date
06/12/2007
Last updated
04/25/2013
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