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Organization
INNOVATION LIFE CARE, LLC
Active
Organization
INNOVATION LIFE CARE, LLC
Active
Other names
Brightstar of Wilkes Barre
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TARA SCARANTINO (PRESIDENT)
(570) 362-8725
Entity
Organization
Contact information
Practice address
561 N MAIN ST, PITTSTON, PA 18640-2203
(570) 602-1560
(570) 602-1569
Mailing address
561 N MAIN ST, PITTSTON, PA 18640-2203
(570) 602-1560
(570) 602-1569
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
20053601
PA
Other
Enumeration date
10/20/2010
Last updated
10/20/2010
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