Healthcare Provider Details

I. General information

NPI: 1164626461
Provider Name (Legal Business Name): RELATIVE CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/12/2007
Last Update Date: 04/25/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

36 W LANCASTER AVE
DOWNINGTOWN PA
19335-2877
US

IV. Provider business mailing address

36 W LANCASTER AVE
DOWNINGTOWN PA
19335-2877
US

V. Phone/Fax

Practice location:
  • Phone: 610-269-2935
  • Fax: 610-269-9514
Mailing address:
  • Phone: 610-269-2935
  • Fax: 610-269-9514

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number StatePA
# 3
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: MR. JUSTIN DUNGAN LAFAZIA
Title or Position: PRESIDENT
Credential:
Phone: 610-269-2935