Organization
IN HOME PROGRAM, INC.
Active
Parent organization
IN HOME PROGRAM INC
Other names
IN HOME PROGRAM/PREFERRED HOME CARE
Organization subpart
Yes
Provider details
NPI number
Legal business name
IN HOME PROGRAM INC
Authorized official
MR. PAUL E. MACDONALD (CEO)
(215) 763-2265
Entity
Organization
Contact information
Practice address
739 N 24TH ST, PHILA, PA 19130-2539
(215) 763-2265
(215) 763-4146
Mailing address
739 N 24TH ST, PHILA, PA 19130-2539
(215) 763-2265
(215) 763-4146
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
758805
PA
251E00000X
Home Health Agency
Primary
758805
PA
251J00000X
Nursing Care Agency
758805
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0014639560002
—
PA
01
—
758805
LICENSE
PA
Enumeration date
01/28/2010
Last updated
01/28/2010
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