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Organization
TENDER LOVING CARE HEALTH CARE SERVICES OF PA, LLC
Active
Organization
TENDER LOVING CARE HEALTH CARE SERVICES OF PA, LLC
Active
Other names
Amedisys Home Health Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM BORNE (CEO)
(225) 292-2031
Entity
Organization
Contact information
Practice address
2041 COLUMBIA BLVD, BLOOMSBURG, PA 17815-8867
(570) 416-1440
(570) 416-1448
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(225) 292-2031
(225) 295-9678
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
719505
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101493591001
—
PA
01
—
201031840026
TRICARE HEALTH NET PPS
PA
01
—
30022841
PA KEYSONE MERCY HEALTH
PA
01
—
397195
PA BC OF NEPA
PA
01
—
606348200
FED BLACK LUNG WORKERS CO
PA
01
—
818949
PA FIRST PRIORITY HEALTH
PA
Enumeration date
06/07/2006
Last updated
09/08/2010
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