Organization
DOR TO DOR HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ENEL DORSAINVIL (CHIEF EXECUTIVE OFFICER)
(267) 423-8941
Entity
Organization
Contact information
Practice address
6324 SHELBOURNE ST, PHILADELPHIA, PA 19111-5615
(215) 668-5769
Mailing address
6324 SHELBOURNE ST, PHILADELPHIA, PA 19111-5615
(215) 668-5769
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
28913601
PA
Other
Enumeration date
10/09/2015
Last updated
09/01/2016
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