Organization
BANK HOME CARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AZANI MONTGOMERY BANK (OWNER)
(215) 830-0100
Entity
Organization
Contact information
Practice address
230 FAIRHILL ST, WILLOW GROVE, PA 19090-2647
(215) 830-0100
(215) 830-0105
Mailing address
230 FAIRHILL ST, WILLOW GROVE, PA 19090-2647
(215) 830-0100
(215) 830-0105
Taxonomy
Speciality
Code
Description
License number
State
251F00000X
Home Infusion Agency
Primary
—
—
Other
Enumeration date
07/08/2015
Last updated
07/08/2015
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