Provider Demographics
NPI:1972903581
Name:BROTHERLY LOVE HOME CARE
Entity Type:Organization
Organization Name:BROTHERLY LOVE HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:PERLIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:267-575-9485
Mailing Address - Street 1:78 TRACEY RD UNIT B
Mailing Address - Street 2:
Mailing Address - City:HUNTINGDON VALLEY
Mailing Address - State:PA
Mailing Address - Zip Code:19006-4222
Mailing Address - Country:US
Mailing Address - Phone:215-947-8556
Mailing Address - Fax:
Practice Address - Street 1:78 TRACEY RD UNIT B
Practice Address - Street 2:
Practice Address - City:HUNTINGDON VALLEY
Practice Address - State:PA
Practice Address - Zip Code:19006-4222
Practice Address - Country:US
Practice Address - Phone:215-947-8556
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-02
Last Update Date:2014-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA26073601251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management