Organization
INNOVATIVE SENIOR CARE HOME HEALTH OF PHILADELPHIA LLC
Active
Other names
Brookdale Home Health Philadelphia
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NICHOLAS GACHASSIN III (EXECUTIVE VICE PRESIDENT)
(337) 233-1307
Entity
Organization
Contact information
Practice address
995 OLD EAGLE SCHOOL RD, SUITE 314, WAYNE, PA 19087-1709
(610) 265-2846
(610) 265-2847
Mailing address
PO BOX 51266, LAFAYETTE, LA 70505-1266
(337) 233-1307
(337) 443-4154
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
2580501
PA
Other
Enumeration date
06/18/2010
Last updated
07/01/2022
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