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Organization
STAY AT HOME HOME CARE
Active
Organization
STAY AT HOME HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DIANA PIVENSHTEYN MANAGING PARTNER (COMMUNITY HEALTH LIASON)
(215) 768-9244
Entity
Organization
Contact information
Practice address
505 LAKESIDE PARK, SOUTHAMPTON, PA 18966-4078
(215) 768-9244
Mailing address
505 LAKESIDE PARK, SOUTHAMPTON, PA 18966-4078
(215) 768-9244
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
44803601
DEPT OF HEALTH LICENCE
PA
Enumeration date
04/17/2020
Last updated
04/17/2020
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