Healthcare Provider Details

I. General information

NPI: 1770167363
Provider Name (Legal Business Name): UDY HOMECARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/10/2021
Last Update Date: 05/10/2021
Certification Date: 05/10/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 E BALTIMORE AVE
EAST LANSDOWNE PA
19050-2606
US

IV. Provider business mailing address

800 E BALTIMORE AVE
EAST LANSDOWNE PA
19050-2606
US

V. Phone/Fax

Practice location:
  • Phone: 610-864-0055
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: UDEME ESHIET
Title or Position: OWNER
Credential:
Phone: 610-864-0055