Organization Name: | RELATIVE CARE, LLC |
NPI Number: | 1164626461 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JUSTIN DUNGAN LAFAZIA (PRESIDENT) |
Mailing Address: | 36 W Lancaster Ave Downingtown |
State: | PA US |
Postal Code: | 193352877 |
Phone Number: | 6102692935 |
Fax Number: | 6102699514 |
NPI Enumeration Date: | 06/12/2007 |
NPI Last Update Date: | 04/25/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 385H00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Respite Care Facility |
Taxonomy Classification: | Respite Care |
Taxonomy Specialization: | |
Taxonomy Definition: |