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Organization
HOME HEALTH AGENCY CENTRAL PENNSYLVANIA, LLC
Active
Organization
HOME HEALTH AGENCY CENTRAL PENNSYLVANIA, LLC
Active
Other names
Omni Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSHUA L. PROFFITT (PRESIDENT)
(337) 233-1307
Entity
Organization
Contact information
Practice address
221 HOSPITAL DR STE 2, TYRONE, PA 16686-1826
(814) 684-7366
(814) 674-7368
Mailing address
PO BOX 51266, LAFAYETTE, LA 70505-1266
(337) 233-1307
(337) 443-4154
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
77960501
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1037316920001
—
PA
Enumeration date
09/08/2005
Last updated
10/04/2024
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