Organization
CITIZEN HOME CARE AGENCY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AZARYA YAKUBOV (MANAGING MEMBER/PRESIDENT)
(267) 242-2070
Entity
Organization
Contact information
Practice address
605 LOUIS DR STE 504, WARMINSTER, PA 18974-2830
(267) 242-2070
Mailing address
100 SOUTH BROAD STREET, SUITE 815, PHILADELPHIA, PA 19110
(267) 930-7633
(267) 457-3922
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
34703601
PA
Other
Enumeration date
09/20/2017
Last updated
09/20/2017
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