Provider Demographics
NPI:1811656127
Name:PALLY HANDS HOMECARE LLC
Entity type:Organization
Organization Name:PALLY HANDS HOMECARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ENIOLA
Authorized Official - Middle Name:
Authorized Official - Last Name:AKINBO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:267-437-6953
Mailing Address - Street 1:941 SOUTH AVE APT B18
Mailing Address - Street 2:
Mailing Address - City:SECANE
Mailing Address - State:PA
Mailing Address - Zip Code:19018-3438
Mailing Address - Country:US
Mailing Address - Phone:267-437-6953
Mailing Address - Fax:
Practice Address - Street 1:941 SOUTH AVE APT B18
Practice Address - Street 2:
Practice Address - City:SECANE
Practice Address - State:PA
Practice Address - Zip Code:19018-3438
Practice Address - Country:US
Practice Address - Phone:267-437-6953
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-14
Last Update Date:2021-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health