Provider Demographics
NPI:1760022818
Name:AGING AND DISABLE SOCIAL SUPPORT NETWORK INC
Entity type:Organization
Organization Name:AGING AND DISABLE SOCIAL SUPPORT NETWORK INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LIUBOV
Authorized Official - Middle Name:
Authorized Official - Last Name:BABAK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:888-755-1610
Mailing Address - Street 1:11880 BUSTLETON AVE # 106
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19116-2500
Mailing Address - Country:US
Mailing Address - Phone:888-755-1610
Mailing Address - Fax:215-392-5160
Practice Address - Street 1:11880 BUSTLETON AVE # 106
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19116-2500
Practice Address - Country:US
Practice Address - Phone:888-755-1610
Practice Address - Fax:215-392-5160
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-07
Last Update Date:2025-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health