Organization
REBECCA'S PERSONAL CARE HOME INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DUSTIN COREY MILLER (OWNER/ADMINISTRATOR)
(814) 652-2834
Entity
Organization
Contact information
Practice address
118 MASTERS AVE, EVERETT, PA 15537-1216
(814) 652-2834
(814) 652-5090
Mailing address
118 MASTERS AVE, EVERETT, PA 15537-1216
(814) 652-2834
(814) 652-5090
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
324070
PA
Other
Enumeration date
07/19/2012
Last updated
07/19/2012
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