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Organization

FAMILY FIRST HOME CARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. MARINA KIRVALIDZE (CEO)
(215) 969-3300
Entity
Organization

Contact information

Practice address
13430 DAMAR DR STE 101, PHILADELPHIA, PA 19116-1801
(215) 969-3300
(215) 677-3500
Mailing address
13430 DAMAR DR STE 101, PHILADELPHIA, PA 19116-1801
(215) 969-3300
(215) 677-3500

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
27863601
PA
253Z00000X
In Home Supportive Care Agency
Primary
27863601
PA

Other

Enumeration date
05/21/2015
Last updated
05/21/2015
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