Organization
ELDERSERVE OF LANCASTER COUNTY, INC.
Active
Other names
Home Instead Senior Care, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY WISE (PRESIDENT)
(717) 207-0755
Entity
Organization
Contact information
Practice address
255 BUTLER AVE, SUITE 301, LANCASTER, PA 17601-6308
(717) 207-0755
(717) 207-0758
Mailing address
255 BUTLER AVE, SUITE 301, LANCASTER, PA 17601-6308
(717) 207-0755
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1015865470001
—
PA
01
—
1553353
GATEWAY HEALTH PLAN
PA
01
—
87238
MENTAL HLTH,MENTAL RETARD
PA
Enumeration date
04/15/2007
Last updated
08/22/2020
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