Provider Demographics
NPI:1073024683
Name:ARMOR HOMECARE SERVICES, LLC
Entity Type:Organization
Organization Name:ARMOR HOMECARE SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:YVONNE
Authorized Official - Middle Name:
Authorized Official - Last Name:NYAKAANA
Authorized Official - Suffix:
Authorized Official - Credentials:OWNER
Authorized Official - Phone:610-425-2230
Mailing Address - Street 1:2803 WINCHESTER AVE
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19136-1711
Mailing Address - Country:US
Mailing Address - Phone:610-425-2230
Mailing Address - Fax:
Practice Address - Street 1:2803 WINCHESTER AVE
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19136-1711
Practice Address - Country:US
Practice Address - Phone:610-425-2230
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-23
Last Update Date:2019-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care