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Organization
LIFE CARE HOME SERVICES OF NORTHWESTERN PENNSYLVANIA LLP
Active
Organization
LIFE CARE HOME SERVICES OF NORTHWESTERN PENNSYLVANIA LLP
Active
Other names
GREAT LAKES HOME HEALTHCARE SERVICES PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY DUBOWSKI RN, MSN (PRESIDENT)
(814) 877-6121
Entity
Organization
Contact information
Practice address
1700 PEACH ST, STE 104, ERIE, PA 16501-2134
(814) 877-6121
(814) 453-2440
Mailing address
PO BOX 641396, PITTSBURGH, PA 15264-1396
(814) 877-6121
(814) 459-1858
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
22656
OH
332B00000X
Durable Medical Equipment & Medical Supplies
3000008117
PA
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
3000008117
PA
335E00000X
Prosthetic/Orthotic Supplier
—
NULL
Other
Enumeration date
06/15/2005
Last updated
02/01/2012
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