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Organization

DIVINE PROVIDENCE HOSPITAL OF THE SISTERS OF CHRISTIAN CHARITY

Active
Other names
Susquehanna Home Care & Hospice
Organization subpart
No

Provider details

NPI number
Authorized official
MR. CHARLES SANTANGELO (EXECUTIVE VICE PRESIDENT CFO)
(570) 321-3171
Entity
Organization

Contact information

Practice address
1100 GRAMPIAN BLVD, 4 SOUTH, WILLIAMSPORT, PA 17701-1909
(570) 320-7690
(570) 320-7898
Mailing address
1100 GRAMPIAN BLVD, 4 SOUTH, WILLIAMSPORT, PA 17701-1909
(570) 320-7690
(570) 320-7898

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
700605
PA
251J00000X
Nursing Care Agency
700605
PA

Other

Enumeration date
03/14/2007
Last updated
04/06/2009
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