Provider Demographics
NPI:1053194902
Name:PENNSYLVANIA HOME HEALTH SERVICES LIMITED LIABILITY COMPANY
Entity type:Organization
Organization Name:PENNSYLVANIA HOME HEALTH SERVICES LIMITED LIABILITY COMPANY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SARLIAH
Authorized Official - Middle Name:
Authorized Official - Last Name:DORLEY
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:484-480-7059
Mailing Address - Street 1:2236 S 62ND ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19142-2301
Mailing Address - Country:US
Mailing Address - Phone:484-480-7059
Mailing Address - Fax:
Practice Address - Street 1:2236 S 62ND ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19142-2301
Practice Address - Country:US
Practice Address - Phone:484-480-7059
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-15
Last Update Date:2023-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care