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Organization
SIERRA HOMEHEALTH CARE AGENCY, LLC
Active
Organization
SIERRA HOMEHEALTH CARE AGENCY, LLC
Active
Other names
Sierra Allied Health & Homecare Agency, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PETER MANSARAY (CEO)
(717) 616-0134
Entity
Organization
Contact information
Practice address
2337 N 3RD ST, HARRISBURG, PA 17110-1816
(717) 616-0134
(717) 695-2165
Mailing address
401 ERFORD RD, CAMP HILL, PA 17011-1118
(717) 695-2165
(717) 695-2165
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
04150501
PA
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
10063601
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04150501
DEPART MENT OF HEALTH- MEDICARE LICENSE
PA
Enumeration date
10/06/2009
Last updated
08/30/2012
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