Provider Demographics
NPI:1932435351
Name:DEPENDABLE HOMECARE AGENCY
Entity Type:Organization
Organization Name:DEPENDABLE HOMECARE AGENCY
Other - Org Name:DEPENDABLE HOMECARE AGENCY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:EMMANUEL
Authorized Official - Middle Name:M
Authorized Official - Last Name:MOSES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-241-0706
Mailing Address - Street 1:400 S LANSDOWNE AVE
Mailing Address - Street 2:APT. A2
Mailing Address - City:YEADON
Mailing Address - State:PA
Mailing Address - Zip Code:19050-2442
Mailing Address - Country:US
Mailing Address - Phone:484-461-2830
Mailing Address - Fax:484-466-3821
Practice Address - Street 1:400 S LANSDOWNE AVE
Practice Address - Street 2:APT. A2
Practice Address - City:YEADON
Practice Address - State:PA
Practice Address - Zip Code:19050-2442
Practice Address - Country:US
Practice Address - Phone:484-461-2830
Practice Address - Fax:484-466-3821
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-19
Last Update Date:2009-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health