Organization
A PART OF OUR FAMILY HOME CARE AGENCY LLC
Active
Other names
Home Care for the 21st Century- SE Reading
Organization subpart
No
Provider details
NPI number
Authorized official
GAVIN MATA (PRESIDENT)
(347) 299-3170
Entity
Organization
Contact information
Practice address
20 N FRONT ST, BALLY, PA 19503
(347) 299-3170
Mailing address
203 TROY AVE, BROOKLYN, NY 11213-2885
(347) 299-3170
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
05/16/2018
Last updated
11/24/2021
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