Organization
NORTHEASTERN HOME CARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUNE GUTSHALL (PRESIDENT)
(570) 359-2436
Entity
Organization
Contact information
Practice address
72 EDWARDS DR STE 3, BLOOMSBURG, PA 17815-8783
(570) 359-2436
(570) 507-8452
Mailing address
72 EDWARDS DR STE 3, BLOOMSBURG, PA 17815-8783
(570) 359-2436
(570) 507-8452
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1031112580001
—
PA
Enumeration date
11/26/2019
Last updated
11/26/2019
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