Organization
EVERETT HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TONI K EVERETT (OWNER)
(570) 818-4663
Entity
Organization
Contact information
Practice address
284 DEAD END LN, LEHIGHTON, PA 18235-9564
(570) 818-4663
Mailing address
284 DEAD END LN, LEHIGHTON, PA 18235-9564
(570) 818-4663
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1032193310002
—
PA
01
—
23733601
HOME CARE LICENSE BY DEPT OF HEALTH
PA
Enumeration date
11/10/2015
Last updated
11/19/2019
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