MEDICARE: DELAWARE VALLEY HOME CARE, INC.

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	332BP3500X	Parenteral & Enteral Nutrition Supplies (DME)

General Provider Information

NPI Number	:	1477946069
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DELAWARE VALLEY HOME CARE, INC.

Provider Business Mailing Address
First Line	:	4 CREEK PKWY
Second Line	:
City	:	UPPER CHICHESTER
State	:	PA
Zip	:	19061-3132
Country	:	US
Telephone Number	:	800-223-4376
Fax Number	:

Provider Business Practice Location Address
First Line	:	4 CREEK PKWY
Second Line	:
City	:	UPPER CHICHESTER
State	:	PA
Zip	:	19061-3132
Country	:	US
Telephone Number	:	800-223-4376
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MR. JOSEPH COSGROVE
Credential	:
Telephone Number	:	610-494-8700

Provider Enumeration Date	:	03/06/2015
Last Update Date	:	03/06/2015

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