Organization
MODEST HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUIS CORDERO (PRESIDENT)
(267) 228-2921
Entity
Organization
Contact information
Practice address
1308 W WALNUT ST, COAL TOWNSHIP, PA 17866-1310
(267) 228-2921
Mailing address
1308 W WALNUT ST, COAL TOWNSHIP, PA 17866-1310
(267) 228-2921
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
03/20/2020
Last updated
03/20/2020
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