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Organization

PROFESSIONAL HOME HEALTH SERVICES, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ANTHONY P ANGELO (VICE PRESIDENT-COMPLIANCE)
(610) 205-2440
Entity
Organization

Contact information

Practice address
2145 S DUPONT HWY, DOVER, DE 19901-5561
(302) 697-7125
(302) 697-7257
Mailing address
620 FREEDOM BUSINESS CTR DR, SUITE 105, KING OF PRUSSIA, PA 19406-1330
(610) 205-2440
(610) 205-2468

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0000045714
DE
05
0000768314
DE
01
0004963000
KEYSTONE HEALTH PLAN EAST
DE
01
1058
MIDATLANTIC HEALTH PLAN
DE
01
157994
FEDERAL BC
DE
01
2333
AETNA
DE
05
236383601
MD
01
243654
MAMSI
DE
01
BB82
CAREFIRST
DE
Enumeration date
09/19/2005
Last updated
05/19/2008
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