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Organization

HOMEWELL SENIOR CARE WESTMORELAND COUNTY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
REBECCA S KISSNER (OWNER)
(724) 635-0767
Entity
Organization

Contact information

Practice address
4 S 4TH ST, YOUNGWOOD, PA 15697-8202
(724) 635-0767
(724) 635-0770
Mailing address
4 S 4TH ST, YOUNGWOOD, PA 15697-8202
(724) 635-0767
(724) 635-0770

Taxonomy

Speciality
Code
Description
License number
State
372500000X
Chore Provider
372600000X
Adult Companion
3747P1801X
Personal Care Attendant
Primary
16183601
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
16183601
CERTIFICATE OF LICENSURE
PA
Enumeration date
12/29/2014
Last updated
12/29/2014
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