Provider Demographics
NPI:1730667577
Name:SAFEWAY HOME CARE SERVICES LLC
Entity Type:Organization
Organization Name:SAFEWAY HOME CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JEEWAN
Authorized Official - Middle Name:
Authorized Official - Last Name:ADHIKARI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:717-649-1939
Mailing Address - Street 1:108 DOREEN DR
Mailing Address - Street 2:
Mailing Address - City:HUMMELSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:17036-2724
Mailing Address - Country:US
Mailing Address - Phone:717-649-1939
Mailing Address - Fax:
Practice Address - Street 1:108 DOREEN DR
Practice Address - Street 2:
Practice Address - City:HUMMELSTOWN
Practice Address - State:PA
Practice Address - Zip Code:17036-2724
Practice Address - Country:US
Practice Address - Phone:717-649-1939
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-03
Last Update Date:2018-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care