Provider Demographics
NPI:1770167363
Name:UDY HOMECARE SERVICES LLC
Entity type:Organization
Organization Name:UDY HOMECARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:UDEME
Authorized Official - Middle Name:
Authorized Official - Last Name:ESHIET
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-864-0055
Mailing Address - Street 1:800 E BALTIMORE AVE
Mailing Address - Street 2:
Mailing Address - City:EAST LANSDOWNE
Mailing Address - State:PA
Mailing Address - Zip Code:19050-2606
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:800 E BALTIMORE AVE
Practice Address - Street 2:
Practice Address - City:EAST LANSDOWNE
Practice Address - State:PA
Practice Address - Zip Code:19050-2606
Practice Address - Country:US
Practice Address - Phone:610-864-0055
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-10
Last Update Date:2021-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care