Provider Demographics
NPI:1508366857
Name:MAYFAIR HOME HEALTH CARE SERVICES INC.
Entity Type:Organization
Organization Name:MAYFAIR HOME HEALTH CARE SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:
Authorized Official - Last Name:LAMBACK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-680-3886
Mailing Address - Street 1:751 GERMANTOWN PIKE
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE HILL
Mailing Address - State:PA
Mailing Address - Zip Code:19444-1620
Mailing Address - Country:US
Mailing Address - Phone:215-680-3886
Mailing Address - Fax:267-434-5957
Practice Address - Street 1:751 GERMANTOWN PIKE
Practice Address - Street 2:
Practice Address - City:LAFAYETTE HILL
Practice Address - State:PA
Practice Address - Zip Code:19444-1620
Practice Address - Country:US
Practice Address - Phone:215-680-3886
Practice Address - Fax:267-434-5957
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-13
Last Update Date:2018-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health