Organization
CVIP ENTERPRISES LLC
Active
Other names
Home Instead Senior Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAY P MARIA (OWNER)
(570) 714-4260
Entity
Organization
Contact information
Practice address
269 BENNETT ST, LUZERNE, PA 18709-1519
(570) 714-4260
(570) 208-7952
Mailing address
269 BENNETT ST, LUZERNE, PA 18709-1519
(570) 714-4260
(570) 208-7952
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
10223601
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10223601
PA DEPT OF HEALTH LICENSURE FOR HOME CARE AGENCY
PA
Enumeration date
06/24/2010
Last updated
06/24/2010
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