Organization
NIGHTINGALE DEVOTED CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRANK STACK (MANAGER)
(484) 269-1714
Entity
Organization
Contact information
Practice address
106 MEDINAH DR, READING, PA 19607
(484) 269-1715
Mailing address
106 MEDINAH DR, READING, PA 19607-3399
(484) 269-1714
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
20633601
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20633601
PA DEPT OF HEALTH
PA
Enumeration date
04/21/2014
Last updated
04/21/2014
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