Healthcare Provider Details

I. General information

NPI: 1669751582
Provider Name (Legal Business Name): HOMELINK, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/09/2011
Last Update Date: 08/09/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5 W MT AIRY AVENUE
PHILADELPHIA PA
19119
US

IV. Provider business mailing address

5 W MT AIRY AVENUE
PHILADELPHIA PA
19119
US

V. Phone/Fax

Practice location:
  • Phone: 267-682-1020
  • Fax: 267-682-1028
Mailing address:
  • Phone: 267-682-1020
  • Fax: 267-682-1028

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number311170
License Number StatePA

VIII. Authorized Official

Name: MS. LORI B. SHMUKLER
Title or Position: PRESIDENT/OWNER
Credential:
Phone: 267-682-1020