Organization
BIRCHES AT HOME, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREGORY F. BOBKE JD (CFO)
(215) 793-4445
Entity
Organization
Contact information
Practice address
345 MAIN STREET, SUITE 104, HARLEYSVILLE, PA 19438
(267) 933-6800
(267) 933-6803
Mailing address
345 MAIN STREET, SUITE 104, HARLEYSVILLE, PA 19438
(267) 933-6800
(267) 933-6803
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
21883601
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
21883601
—
PA
Enumeration date
10/26/2011
Last updated
02/24/2015
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