Organization
COMMUNITY CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WASIL W WALESKI MPAC (ADMINISTRATOR)
(724) 830-9918
Entity
Organization
Contact information
Practice address
201 E PENNSYLVANIA AVE, NEW STANTON, PA 15672-9756
(724) 830-9918
(724) 830-9919
Mailing address
201 E PENNSYLVANIA AVE, NEW STANTON, PA 15672-9756
(724) 830-9918
(724) 830-9919
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
02510501
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007547000002
—
PA
Enumeration date
07/06/2006
Last updated
11/17/2014
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