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Organization
TRADITIONS AT HANOVER AT HOME, LLC
Active
Organization
TRADITIONS AT HANOVER AT HOME, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY FRANCIS BOBKA ESQ (CFO)
(215) 793-4445
Entity
Organization
Contact information
Practice address
1502 CENTER ST, SUITE 202, BETHLEHEM, PA 18018-2539
(610) 419-3295
(302) 358-2978
Mailing address
1502 CENTER ST, SUITE 202, BETHLEHEM, PA 18018-2539
(610) 419-3295
(302) 358-2978
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
22833601
PA
Other
Enumeration date
11/21/2012
Last updated
11/21/2012
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