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Organization
CONRAD HOUSE INC
Active
Organization
CONRAD HOUSE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GEORGE HUNTER (PRESIDENT)
(814) 899-8600
Entity
Organization
Contact information
Practice address
5436 E LAKE RD, ERIE, PA 16511-1459
(814) 899-8600
Mailing address
5436 E LAKE RD, ERIE, PA 16511-1459
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
18883601
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18883601
HOME CARE AGENCY
PA
Enumeration date
02/05/2013
Last updated
02/05/2013
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