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Organization
PHILIP J. ERDOS
Active
Organization
PHILIP J. ERDOS
Active
Other names
Professional Habilitation Services
Organization subpart
No
Provider details
NPI number
Authorized official
LUKE TIMOTHY ERDOS B.S. BA (DIRECTOR OF OPERATIONS)
(724) 269-7030
Entity
Organization
Contact information
Practice address
8484B SHARON MERCER RD, MERCER, PA 16137-3140
(724) 269-7030
(724) 269-7030
Mailing address
8484B SHARON MERCER RD, MERCER, PA 16137-3140
(724) 269-7030
(724) 269-7030
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
—
NULL
164W00000X
Licensed Practical Nurse
Primary
—
—
251J00000X
Nursing Care Agency
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100003471
—
PA
Enumeration date
01/26/2015
Last updated
01/27/2015
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