Organization
COMMUNITY RESOURCES FOR INDEPENDENCE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARTIN M PUSHCHAK (CONTROLLER)
(814) 838-7222
Entity
Organization
Contact information
Practice address
3410 W 12TH ST, ERIE, PA 16505-3649
(814) 838-7222
Mailing address
3410 W 12TH ST, ERIE, PA 16505-3649
(814) 838-7222
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100002483
—
PA
Enumeration date
07/22/2009
Last updated
07/22/2009
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