Organization
ATLANTIC HOME CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL FAUSTO RN (ADMINISTRATOR)
(610) 667-0376
Entity
Organization
Contact information
Practice address
101 E 8TH AVE STE 103, CONSHOHOCKEN, PA 19428-1783
(610) 667-0376
(610) 667-0378
Mailing address
101 E 8TH AVE STE 103, CONSHOHOCKEN, PA 19428-1783
(610) 667-0376
(610) 667-0378
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
04280501
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102653869-0002
—
PA
01
—
25103601
PENNSYLVANIA DEPARTMENT OF HEALTH
PA
Enumeration date
01/07/2011
Last updated
06/23/2023
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