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Organization
SUSQUEHANNA VALLEY HOME HEALTH CARE
Active
Organization
SUSQUEHANNA VALLEY HOME HEALTH CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDWARD B POLAKOWSKI JR. RN MSOM (ADMINISTRATOR)
(570) 271-0933
Entity
Organization
Contact information
Practice address
273 GOTSCHAL RD, DANVILLE, PA 17821
(570) 271-0933
(570) 271-2830
Mailing address
273 GOTSCHAL RD, DANVILLE, PA 17821
(570) 271-0933
(570) 271-2830
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
02190501
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1009435290001
—
PA
Enumeration date
02/17/2006
Last updated
08/22/2020
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