Organization
FEBO COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BORIS MICHAILOVICH ZVENIGORODSKY (OWNER)
(267) 255-9538
Entity
Organization
Contact information
Practice address
162 LARKSPUR PL, PHILADELPHIA, PA 19116-2704
(215) 676-1948
Mailing address
162 LARKSPUR PL, PHILADELPHIA, PA 19116-2704
(215) 676-1948
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
11563601
PA
Other
Enumeration date
01/21/2011
Last updated
01/21/2011
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