Organization
PATIENT CARE PENNSYLVANIA, INC
Active
Other names
OMNI Personal Care Services
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA L. PROFFITT (PRESIDENT)
(337) 233-1307
Entity
Organization
Contact information
Practice address
2 MERIDIAN BLVD STE 204, WYOMISSING, PA 19610-3202
(610) 371-8008
(610) 898-3567
Mailing address
PO BOX 51266, LAFAYETTE, LA 70505-1266
(337) 233-1307
(337) 233-5764
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1008844550003
—
PA
Enumeration date
04/11/2016
Last updated
06/24/2024
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