Organization
A1 HOMECARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTHONY KODOR (DIRECTOR)
(888) 552-2736
Entity
Organization
Contact information
Practice address
2701 W 10TH ST, CHESTER, PA 19013-1936
(888) 552-2736
(610) 471-0994
Mailing address
2701 W 10TH ST, CHESTER, PA 19013-1936
(888) 552-2736
(610) 471-0994
Taxonomy
Speciality
Code
Description
License number
State
251T00000X
PACE Provider Organization
Primary
29223601
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103077460-0001
—
PA
Enumeration date
02/20/2017
Last updated
02/20/2017
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