Provider Demographics
NPI:1215395967
Name:OUR LADY OF FATIMA HOME CARE SERVICES LLC
Entity type:Organization
Organization Name:OUR LADY OF FATIMA HOME CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:FATMATA
Authorized Official - Middle Name:
Authorized Official - Last Name:TURRAY
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:267-475-5403
Mailing Address - Street 1:1200 VETERANS HWY
Mailing Address - Street 2:SUITE C6B
Mailing Address - City:BRISTOL
Mailing Address - State:PA
Mailing Address - Zip Code:19007-2525
Mailing Address - Country:US
Mailing Address - Phone:215-245-1543
Mailing Address - Fax:215-558-2585
Practice Address - Street 1:1200 VETERANS HWY
Practice Address - Street 2:SUITE C6B
Practice Address - City:BRISTOL
Practice Address - State:PA
Practice Address - Zip Code:19007-2525
Practice Address - Country:US
Practice Address - Phone:215-245-1543
Practice Address - Fax:215-558-2585
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-09
Last Update Date:2016-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care