Organization
BRILLIANT HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLOS PEREZ (PRESIDENT)
(267) 616-0946
Entity
Organization
Contact information
Practice address
611 DISSTON ST, PHILADELPHIA, PA 19111-4305
(267) 616-0946
Mailing address
611 DISSTON ST, PHILADELPHIA, PA 19111-4305
(267) 616-0946
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
01/02/2020
Last updated
01/02/2020
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