Organization
DEVOTEDCAREATHOMELLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATREASE OATIS LPN (OWNER)
(814) 844-4783
Entity
Organization
Contact information
Practice address
4145 DAVISON AVE, ERIE, PA 16504-2521
(814) 844-4783
Mailing address
4145 DAVISON AVE, ERIE, PA 16504-2521
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6673
—
PA
Enumeration date
01/10/2023
Last updated
01/10/2023
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