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Organization
BRETHREN VILLAGE
Active
Organization
BRETHREN VILLAGE
Active
Other names
Brethren Village Home Health Agency
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PAMELA S. FORMICA (VICE PRESIDENT OF FINANCE)
(717) 581-4234
Entity
Organization
Contact information
Practice address
3001 LITITZ PIKE, LANCASTER, PA 17606-5093
(717) 569-2657
(717) 581-4400
Mailing address
3001 LITITZ PIKE, PO BOX 5093, LANCASTER, PA 17606-5093
(717) 569-2657
(717) 581-4400
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01009109
—
PA
Enumeration date
07/08/2005
Last updated
08/22/2020
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