Provider Demographics
NPI:1124539390
Name:HANDS OF CHOICE HOME HEALTHCARE, LLC.
Entity Type:Organization
Organization Name:HANDS OF CHOICE HOME HEALTHCARE, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:BAILEY
Authorized Official - Middle Name:
Authorized Official - Last Name:MARBLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:631-312-1888
Mailing Address - Street 1:2212 N 23RD ST UNIT D
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19121-1350
Mailing Address - Country:US
Mailing Address - Phone:631-312-1888
Mailing Address - Fax:
Practice Address - Street 1:2212 N 23RD ST UNIT D
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19121-1350
Practice Address - Country:US
Practice Address - Phone:631-312-1888
Practice Address - Fax:631-312-1888
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-16
Last Update Date:2017-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA34803601251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health