MEDICARE: LA' DORCH HOMECARE 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	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1942821335
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LA' DORCH HOMECARE INC

Provider Business Mailing Address
First Line	:	2550 W 13TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11223-5813
Country	:	US
Telephone Number	:	347-234-5532
Fax Number	:

Provider Business Practice Location Address
First Line	:	2550 W 13TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11223-5813
Country	:	US
Telephone Number	:	347-234-5532
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	IGOR VATELMAN
Credential	:
Telephone Number	:	347-234-5532

Provider Enumeration Date	:	04/27/2020
Last Update Date	:	04/27/2020

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