Healthcare Provider Details

I. General information

NPI: 1609714096
Provider Name (Legal Business Name): ANGELA FALU
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/24/2026
Last Update Date: 03/24/2026
Certification Date: 03/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8 W BROAD ST STE 410
HAZLETON PA
18201-6405
US

IV. Provider business mailing address

6603 SYLVESTER ST
PHILADELPHIA PA
19149-2233
US

V. Phone/Fax

Practice location:
  • Phone: 267-639-8866
  • Fax: 215-525-0271
Mailing address:
  • Phone: 267-639-8866
  • Fax: 215-525-0271

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number90613601
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: