Organization
PHILMONT HOMECARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARINA SLUSARANSKAYA (OFFICER/ ADMINISTRATOR)
(215) 908-0950
Entity
Organization
Contact information
Practice address
14500 BUSTLETON AVENUE, SUITE 208, PHILADELPHIA, PA 19116
(267) 343-5951
(267) 343-5962
Mailing address
14500 BUSTLETON AVENUE, SUITE 208, PHILADELPHIA, PA 19116
(267) 343-5951
(267) 343-5962
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
01/07/2014
Last updated
01/07/2014
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