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Organization

AMBASSADOR HOME CARE SERVICES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. MARINA AMERKHANOVA (ADMINISTRATOR)
(267) 258-3396
Entity
Organization

Contact information

Practice address
118080 BUSTLETON AV, SUITE 301, PHILADELPHIA, PA 19116
(215) 486-1080
(215) 613-8788
Mailing address
626 JACKSONVILLE RD, WARMINSTER, PA 18974-4872
(267) 770-6729
(215) 613-8788

Taxonomy

Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1037340770001
HOME CARE
PA
Enumeration date
07/23/2020
Last updated
07/23/2020
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