Organization
ERWINES PRIVATE DUTY HEALTH CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY J ERWINE (PRESIDENT)
(570) 288-1013
Entity
Organization
Contact information
Practice address
270 PIERCE ST, SUITE 208, KINGSTON, PA 18704-5141
(570) 288-3833
(570) 283-3722
Mailing address
250 PIERCE ST, SUITE 209, KINGSTON, PA 18704-5149
(570) 288-3833
(570) 283-3722
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101136409001
—
PA
01
—
3707-32
LUZERNE COUNTY AAA
PA
Enumeration date
07/15/2005
Last updated
08/22/2020
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