Organization
MD ENTERPRISES LLC
Active
Other names
Comfort Keepers #488
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN DUNCAN (BILLING ADMINISTRATOR)
(570) 450-0890
Entity
Organization
Contact information
Practice address
261 S CHURCH ST, HAZLETON, PA 18201
(570) 450-0890
(570) 450-5617
Mailing address
261 S CHURCH STREET, HAZLETON, PA 18201
(570) 450-0890
(570) 450-5617
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
15753601
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001957544
—
PA
Enumeration date
10/14/2014
Last updated
10/14/2014
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