Organization
ELDER HOME CARE, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW RUSSO (PRESIDENT)
(917) 699-7442
Entity
Organization
Contact information
Practice address
1735 MARKET ST # 308, PHILADELPHIA, PA 19103-7501
(917) 699-7442
Mailing address
1735 MARKET ST # 308, PHILADELPHIA, PA 19103-7501
(917) 699-7442
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
02/12/2020
Last updated
02/12/2020
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