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Organization
ESSENT HEALTHCARE - WAYNESBURG LLC
Active
Organization
ESSENT HEALTHCARE - WAYNESBURG LLC
Active
Other names
Southwestern Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN L. PAGE (VICE PRESIDENT)
(615) 844-9849
Entity
Organization
Contact information
Practice address
265 ELM DRIVE, SUITE 2, WAYNESBURG, PA 15370
(724) 627-1900
(724) 627-1998
Mailing address
265 ELM DRIVE, SUITE 2, WAYNESBURG, PA 15370
(724) 627-1900
(724) 627-1998
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
713805
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0756
BLUE CROSS
PA
01
—
0812609
UMWA
PA
05
—
1007722070007
—
PA
01
—
1500357
GATEWAY
PA
01
—
395772
FEDERAL BLACK LUNG
PA
01
—
53513
ADVANTRA/HEALTH ASSURANCE
PA
01
—
75735
THREE RIVERS/MED PLUS
PA
Enumeration date
10/12/2005
Last updated
02/11/2014
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