Provider Demographics
NPI:1700273893
Name:TRUE DIRECT HOME HEALTH CARE
Entity type:Organization
Organization Name:TRUE DIRECT HOME HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO / ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:PERRY
Authorized Official - Middle Name:C
Authorized Official - Last Name:ALLEVA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-309-1199
Mailing Address - Street 1:401 S 2ND ST
Mailing Address - Street 2:SUITE302
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19147-1612
Mailing Address - Country:US
Mailing Address - Phone:215-309-3119
Mailing Address - Fax:215-309-3143
Practice Address - Street 1:401 S 2ND ST
Practice Address - Street 2:SUITE302
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19147-1612
Practice Address - Country:US
Practice Address - Phone:215-309-3119
Practice Address - Fax:215-309-3143
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-16
Last Update Date:2015-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA27423601251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health