Organization
ALPHA HOME CARE CORP
Active
Other names
ALPHA HOME CARE AGENCY, Alpha Home Health Care, ALPHA HOME CARE AGENCY
Organization subpart
No
Provider details
NPI number
Authorized official
ZURAB KVANTRISHVILI (PRESIDENT)
(215) 485-5967
Entity
Organization
Contact information
Practice address
332 BUSTLETON PIKE FL 3, UNIT B, FEASTERVILLE TREVOSE, PA 19053-7856
(215) 485-5967
(215) 485-5924
Mailing address
332 BUSTLETON PIKE FL 3, UNIT B, FEASTERVILLE TREVOSE, PA 19053-7856
(215) 485-5967
(215) 485-5924
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
26183601
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103
—
PA
Enumeration date
11/04/2014
Last updated
06/13/2019
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