Organization
MEMORIAL HOSPITAL INC OF TOWANDA PA
Active
Parent organization
MEMORIAL HOSPITAL IN-HOME CARE DIVISION
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEMORIAL HOSPITAL IN-HOME CARE DIVISION
Authorized official
MR. GARY BAKER (PRESIDENT/CEO)
(570) 265-2191
Entity
Organization
Contact information
Practice address
91 HOSPITAL DR, TOWANDA, PA 18848-9702
(570) 265-2191
(570) 265-0932
Mailing address
91 HOSPITAL DR, TOWANDA, PA 18848-9702
(570) 265-2191
(570) 265-0932
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
741105
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007713260015
—
PA
Enumeration date
05/23/2006
Last updated
11/29/2011
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