Provider Demographics
NPI:1316403769
Name:NORAH'S CARE AGENCY, LLC.
Entity Type:Organization
Organization Name:NORAH'S CARE AGENCY, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARINELA
Authorized Official - Middle Name:
Authorized Official - Last Name:PERCUKA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-465-0555
Mailing Address - Street 1:2442 S BROAD ST FL 1
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19145-4418
Mailing Address - Country:US
Mailing Address - Phone:215-465-0555
Mailing Address - Fax:215-465-0554
Practice Address - Street 1:2442 S BROAD ST FL 1
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19145-4418
Practice Address - Country:US
Practice Address - Phone:215-465-0555
Practice Address - Fax:215-465-0554
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-11
Last Update Date:2019-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health