Organization
LSK HOME CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MAI HUYNH RN (ADMINISTRATOR)
(267) 713-2971
Entity
Organization
Contact information
Practice address
5923 N 5TH ST, PHILADELPHIA, PA 19120-1823
(267) 713-2971
Mailing address
216 EMERSON AVE, MOORESTOWN, NJ 08057-1509
(267) 713-2971
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103659740-0001
—
PA
Enumeration date
02/19/2020
Last updated
02/19/2020
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