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Organization
4 DS HOME CARE LLC
Active
Organization
4 DS HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA M TYLER-FRIERSON (PRESIDENT)
(570) 651-3632
Entity
Organization
Contact information
Practice address
419 LOCUST ST, WILLIAMSPORT, PA 17701-4912
(570) 651-3632
Mailing address
419 LOCUST ST, WILLIAMSPORT, PA 17701-4912
(570) 651-3632
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
11/01/2021
Last updated
11/01/2021
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