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Organization
PRO-VISION SERVICES LLC
Active
Organization
PRO-VISION SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THEBEETSILE KOLKA (OWNER)
(717) 571-4488
Entity
Organization
Contact information
Practice address
116 LAKEPOINT DR, HARRISBURG, PA 17111-2934
(717) 571-4488
Mailing address
116 LAKEPOINT DR, HARRISBURG, PA 17111-2934
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
62563601
PA HOME CARE FACILITY LICENSE
PA
Enumeration date
04/06/2022
Last updated
04/06/2022
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