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Organization

HASLAM PROPERTIES

Active
Other names
HomeWell Of Southeastern Pennsylvania
Organization subpart
No

Provider details

NPI number
Authorized official
MR. EDWARD T HASLAM (CEO / PRESIDENT)
(484) 938-7375
Entity
Organization

Contact information

Practice address
630 FREEDOM BUSINESS CTR DR, 3RD FLOOR, KING OF PRUSSIA, PA 19406-1331
(484) 938-7375
(610) 768-7755
Mailing address
630 FREEDOM BUSINESS CTR DR, 3RD FLOOR, KING OF PRUSSIA, PA 19406-1331
(484) 938-7375
(610) 768-7755

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
23093601
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1027597880001
MA (MEDICAL ASSISTANCE PROGRAM)
PA
Enumeration date
08/14/2014
Last updated
08/14/2014
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