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Organization
ELDERSERVE OF LANCASTER COUNTY, INC.
Active
Organization
ELDERSERVE OF LANCASTER COUNTY, INC.
Active
Other names
Home Instead Senior Care, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY WISE (PRESIDENT)
(717) 207-0755
Entity
Organization
Contact information
Practice address
255 BUTLER AVE, SUITE 301, LANCASTER, PA 17601-6308
(717) 207-0755
(717) 207-0758
Mailing address
255 BUTLER AVE, SUITE 301, LANCASTER, PA 17601-6308
(717) 207-0755
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1015865470001
—
PA
01
—
1553353
GATEWAY HEALTH PLAN
PA
01
—
87238
MENTAL HLTH,MENTAL RETARD
PA
Enumeration date
04/15/2007
Last updated
08/22/2020
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