Organization
PATRIOT HOME CARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VOLODYMIR MATKIVSKI (DIRECTOR)
(877) 535-5550
Entity
Organization
Contact information
Practice address
1101 HAMILTON ST STE 290, ALLENTOWN, PA 18101-1043
(877) 535-5550
Mailing address
5700 N BROAD ST STE 3, PHILADELPHIA, PA 19141-2324
(877) 535-5550
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103000160-0005
—
PA
Enumeration date
10/17/2018
Last updated
10/17/2018
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