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Find providers by NPI
Organization

LANDIS HCBS

Active
Parent organization
LANDIS HCBS, LLC
Other names
Landis at Home
Organization subpart
Yes

Provider details

NPI number
Legal business name
LANDIS HCBS, LLC
Authorized official
EVON L BERGEY LCSW (EXECUTIVE DIRECTOR)
(717) 874-8260
Entity
Organization

Contact information

Practice address
1001 E OREGON RD, LITITZ, PA 17543-9205
(717) 874-8260
Mailing address
1001 EAST OREGON RD., LITITZ, PA 17543
(717) 874-8260

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
13493601
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
13493601
PA DOH LICENSE
PA
Enumeration date
08/14/2018
Last updated
04/22/2019
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