Organization
PHOENIX RURAL HOME HEALTH OF PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NICOLE GIPE WERTS RN (DIRECTOR OF NURSING)
(570) 295-6519
Entity
Organization
Contact information
Practice address
730 ERIE AVE, RENOVO, PA 17764-1130
(570) 243-1006
(570) 858-0041
Mailing address
730 ERIE AVE, RENOVO, PA 17764-1130
(570) 243-1006
(570) 858-0041
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
11/13/2024
Last updated
11/13/2024
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