Organization
TOWER HEALTH AT HOME - POTTSTOWN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYNANN LOUISE DECUSATIS MS CCC SLP (INTERIM CEO)
(610) 378-0481
Entity
Organization
Contact information
Practice address
1963 E. HIGH STREET, POTTSTOWN, PA 19464
(610) 327-5700
(610) 327-5701
Mailing address
1170 BERKSHIRE BOULEVARD, WYOMISSING, PA 19610
(610) 378-0481
(610) 378-9762
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
CLIA 39D0204552
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007496750003
—
PA
Enumeration date
10/27/2010
Last updated
02/08/2019
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