Provider Demographics
NPI:1861623373
Name:HALIA HOME AND COMMUNITY SERVICES
Entity type:Organization
Organization Name:HALIA HOME AND COMMUNITY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:JERRY
Authorized Official - Middle Name:KORLUBAH
Authorized Official - Last Name:YOGBOH
Authorized Official - Suffix:SR
Authorized Official - Credentials:MS
Authorized Official - Phone:267-343-2412
Mailing Address - Street 1:320 MACDADE BLVD
Mailing Address - Street 2:SUITE 105
Mailing Address - City:COLLINGDALE
Mailing Address - State:PA
Mailing Address - Zip Code:19023-1927
Mailing Address - Country:US
Mailing Address - Phone:484-494-1355
Mailing Address - Fax:484-494-1370
Practice Address - Street 1:320 MACDADE BLVD
Practice Address - Street 2:SUITE 105
Practice Address - City:COLLINGDALE
Practice Address - State:PA
Practice Address - Zip Code:19023
Practice Address - Country:US
Practice Address - Phone:484-494-1355
Practice Address - Fax:484-494-1370
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-31
Last Update Date:2013-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health