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Organization
NEW PROVIDENCE HOME HEALTH CARE SERVICES
Active
Organization
NEW PROVIDENCE HOME HEALTH CARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BONIFACE ONYEBUCHI EGUZOUWA (ADMINISTRATOR)
(717) 786-9254
Entity
Organization
Contact information
Practice address
56 SCHELLER RD, NEW PROVIDENCE, PA 17560-9713
(717) 786-9254
(717) 786-9135
Mailing address
56 SCHELLER RD, NEW PROVIDENCE, PA 17560-9713
(717) 786-9254
(717) 786-9135
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1024402600001
—
PA
Enumeration date
12/13/2011
Last updated
12/13/2011
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