Individual
NAOZAD JAL TATA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
221 W HIGH ST STE 1000, BELLEFONTE, PA 16823-1368
(717) 209-0091
Mailing address
1410 ESTATE DR, BOALSBURG, PA 16827-1677
(717) 209-0091
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
43153601
PA
372600000X
Adult Companion
43153601
PA
376J00000X
Homemaker
43153601
PA
Other
Enumeration date
11/23/2019
Last updated
11/23/2019
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