Organization
IN HOME PROGRAM, INC.
Active
Other names
MARSCare
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID HATOOKA (PRESIDENT)
(215) 378-4122
Entity
Organization
Contact information
Practice address
739 N. 24TH STREET, PHILADELPHIA, PA 19130
(215) 232-4357
(215) 763-0708
Mailing address
739 N. 24TH STREET, PHILADELPHIA, PA 19130
(215) 232-4357
(215) 763-0708
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
397588
PA
251E00000X
Home Health Agency
758805
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0014639560002
—
PA
05
—
0014639560004
—
PA
Enumeration date
05/24/2005
Last updated
08/01/2024
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