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NPI Code Detail

MEDICARE: LILA'S HOME CARE LLC

MEDICARE: LILA'S HOME CARE LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1253Z00000XIn Home Supportive Care Agency

General Provider Information

NPI Number : 1285168500
Entity Type Code : Organization
Provider Name (Legal Business Name) : LILA'S HOME CARE LLC
Provider Business Mailing Address
First Line : 103 POE CT
Second Line :
City : NORTH WALES
State : PA
Zip : 19454-4431
Country : US
Telephone Number : 215-370-7760
Fax Number :
Provider Business Practice Location Address
First Line : 103 POE CT
Second Line :
City : NORTH WALES
State : PA
Zip : 19454-4431
Country : US
Telephone Number : 215-370-7760
Fax Number :
Authorized Official
Title or Position : OWNER
Name : HYUN C BENJAMIN
Credential :
Telephone Number : 215-370-7760
Provider Enumeration Date : 04/13/2017
Last Update Date : 04/13/2017

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Directions to “LILA'S HOME CARE LLC ” Practice Location

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