Provider Demographics
NPI:1245776673
Name:ELDER PAL HEALTHCARE INC
Entity Type:Organization
Organization Name:ELDER PAL HEALTHCARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:OMAR
Authorized Official - Middle Name:
Authorized Official - Last Name:JAMALADDIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:267-994-6997
Mailing Address - Street 1:3306 FAIRDALE RD
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19154-1823
Mailing Address - Country:US
Mailing Address - Phone:267-994-6997
Mailing Address - Fax:
Practice Address - Street 1:3306 FAIRDALE RD
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19154-1823
Practice Address - Country:US
Practice Address - Phone:267-994-6997
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-09
Last Update Date:2017-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA725227251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health