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Organization

TRADITIONS AT HANOVER AT HOME, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GREGORY FRANCIS BOBKA ESQ (CFO)
(215) 793-4445
Entity
Organization

Contact information

Practice address
1502 CENTER ST, SUITE 202, BETHLEHEM, PA 18018-2539
(610) 419-3295
(302) 358-2978
Mailing address
1502 CENTER ST, SUITE 202, BETHLEHEM, PA 18018-2539
(610) 419-3295
(302) 358-2978

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
22833601
PA

Other

Enumeration date
11/21/2012
Last updated
11/21/2012
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