Provider Demographics
NPI:1871906578
Name:ALBERT HOME HEALTH CARE AGENCY LLC
Entity type:Organization
Organization Name:ALBERT HOME HEALTH CARE AGENCY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:WHA
Authorized Official - Middle Name:YOUNG
Authorized Official - Last Name:KIM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:267-304-8128
Mailing Address - Street 1:1400 WILLOW AVE STE D2
Mailing Address - Street 2:
Mailing Address - City:ELKINS PARK
Mailing Address - State:PA
Mailing Address - Zip Code:19027-3100
Mailing Address - Country:US
Mailing Address - Phone:215-782-8370
Mailing Address - Fax:215-782-8371
Practice Address - Street 1:1400 WILLOW AVE STE D2
Practice Address - Street 2:
Practice Address - City:ELKINS PARK
Practice Address - State:PA
Practice Address - Zip Code:19027-3100
Practice Address - Country:US
Practice Address - Phone:215-782-8370
Practice Address - Fax:215-782-8371
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-10
Last Update Date:2014-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health