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Organization

A PART OF OUR FAMILY HOME CARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GAVIN MATA (OWNER)
(646) 689-8108
Entity
Organization

Contact information

Practice address
20 N FRONT ST STE 12, BALLY, PA 19503-9605
(610) 845-0806
Mailing address
100 DEBS PL APT 26B, BRONX, NY 10475-2503
(646) 689-8108

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary

Other

Enumeration date
03/05/2020
Last updated
03/05/2020
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