Organization
COMPREHENSIVE HOME CARE SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BERGSON LOUIS-JACQUES OTR/L (THERAPIST)
(845) 641-9412
Entity
Organization
Contact information
Practice address
4178 BLUE MOUNTAIN XING, EAST STROUDSBURG, PA 18301-9333
(845) 641-9412
Mailing address
4178 BLUE MOUNTAIN XING, EAST STROUDSBURG, PA 18301-9333
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC010448
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1184725293
APPLICATION FOR MEDICARE PENDING
—
Enumeration date
11/21/2014
Last updated
11/21/2014
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