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Organization
PHOENIX RURAL HOME HEALTH OF PA
Active
Organization
PHOENIX RURAL HOME HEALTH OF PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NICOLE GIPE WERTS RN (DIRECTOR OF NURSING)
(570) 295-6519
Entity
Organization
Contact information
Practice address
730 ERIE AVE, RENOVO, PA 17764-1130
(570) 243-1006
(570) 858-0041
Mailing address
730 ERIE AVE, RENOVO, PA 17764-1130
(570) 243-1006
(570) 858-0041
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
11/13/2024
Last updated
11/13/2024
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