# SERVING SPIRIT HOME CARE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134807001
- **Authorized official:** JOHN PAUL PANTIN (PRESIDENT)
- **Authorized official phone:** (818) 917-8461

## Contact information

- **Practice address:** 954 MONTGOMERY AVE STE 1, PENN VALLEY, PA 19072-1938
- **Practice address phone:** (610) 482-4077
- **Mailing address:** 954 MONTGOMERY AVE STE 1, PENN VALLEY, PA 19072-1938
- **Mailing address phone:** (610) 482-4077

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 07/10/2023
- **Last updated:** 07/10/2023