Provider Demographics
NPI:1609295427
Name:AFFECTIONATE HOME HEALTH CARE SERVICES LLC
Entity Type:Organization
Organization Name:AFFECTIONATE HOME HEALTH CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT, TREASURER, ADMIN, DON
Authorized Official - Prefix:
Authorized Official - First Name:HABIBATU
Authorized Official - Middle Name:
Authorized Official - Last Name:DUMBAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-876-5712
Mailing Address - Street 1:1023 ELMWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:SHARON HILL
Mailing Address - State:PA
Mailing Address - Zip Code:19079-1607
Mailing Address - Country:US
Mailing Address - Phone:610-915-8045
Mailing Address - Fax:
Practice Address - Street 1:1023 ELMWOOD AVE
Practice Address - Street 2:
Practice Address - City:SHARON HILL
Practice Address - State:PA
Practice Address - Zip Code:19079-1607
Practice Address - Country:US
Practice Address - Phone:610-915-8045
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-09
Last Update Date:2014-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health