Provider Demographics
NPI:1134722614
Name:ALLAY HOME HEALTH SERVICES LLC
Entity type:Organization
Organization Name:ALLAY HOME HEALTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:SEDOFIA
Authorized Official - Middle Name:
Authorized Official - Last Name:GEDZAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-901-0191
Mailing Address - Street 1:8733 CHESHIRE CT
Mailing Address - Street 2:
Mailing Address - City:JESSUP
Mailing Address - State:MD
Mailing Address - Zip Code:20794-9339
Mailing Address - Country:US
Mailing Address - Phone:281-901-0191
Mailing Address - Fax:240-540-6169
Practice Address - Street 1:8733 CHESHIRE CT
Practice Address - Street 2:
Practice Address - City:JESSUP
Practice Address - State:MD
Practice Address - Zip Code:20794-9339
Practice Address - Country:US
Practice Address - Phone:281-901-0191
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-18
Last Update Date:2022-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health