Provider Demographics
NPI:1871135319
Name:GALAL HOME CARE AGENCY LLC
Entity type:Organization
Organization Name:GALAL HOME CARE AGENCY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/FOUNDER
Authorized Official - Prefix:MR
Authorized Official - First Name:ZAZA
Authorized Official - Middle Name:L
Authorized Official - Last Name:KANDAKAI
Authorized Official - Suffix:JR
Authorized Official - Credentials:MPA-HA
Authorized Official - Phone:718-954-1985
Mailing Address - Street 1:1200 VETERANS HWY SUITE C-9A
Mailing Address - Street 2:
Mailing Address - City:BRISTOL
Mailing Address - State:PA
Mailing Address - Zip Code:19007-2525
Mailing Address - Country:US
Mailing Address - Phone:215-458-7194
Mailing Address - Fax:
Practice Address - Street 1:1200 VETERANS HWY SUITE C-9A
Practice Address - Street 2:
Practice Address - City:BRISTOL
Practice Address - State:PA
Practice Address - Zip Code:19007-2525
Practice Address - Country:US
Practice Address - Phone:215-458-7194
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-16
Last Update Date:2019-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty