MEDICARE: L & A HOME CARE SERVICES

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
1	251E00000X	Home Health Agency		PA

General Provider Information

NPI Number	:	1447606371
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	L & A HOME CARE SERVICES

Provider Business Mailing Address
First Line	:	6050 N 10TH ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19141-3703
Country	:	US
Telephone Number	:	215-254-9548
Fax Number	:

Provider Business Practice Location Address
First Line	:	3810 N 15TH ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19140-3604
Country	:	US
Telephone Number	:	215-254-9548
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MS. LAILA MCCRAY
Credential	:
Telephone Number	:	215-254-9548

Provider Enumeration Date	:	05/10/2016
Last Update Date	:	05/10/2016

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