Organization
HOME HEALTH AGENCY -PHILADELPHIA, LLC
Active
Other names
Omni Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
JORGE RICO (MANAGER)
(305) 476-5160
Entity
Organization
Contact information
Practice address
426 AIRPORT RD, BELTWAY COMMONS, SUITE 138, HAZLE TOWNSHIP, PA 18202-3361
(570) 450-4050
(570) 450-4051
Mailing address
510 HOSPITAL DR, SUITE 100, MADISON, TN 37115-5033
(615) 712-2250
(615) 577-0081
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
80300501
PA
Other
Enumeration date
09/14/2005
Last updated
07/10/2012
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