Organization
HOME NURSING AGENCY COMMUNITY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILIP L FREEMAN JR. (PRESIDENT)
(814) 946-5411
Entity
Organization
Contact information
Practice address
400 LAKEMONT PARK BLVD, SUITE 100 EARLY INTERVENTION, ALTOONA, PA 16602-5967
(814) 946-0261
(814) 943-6198
Mailing address
201 CHESTNUT AVE, EARLY INTERVENTION, ALTOONA, PA 16601-4927
(814) 946-5411
(814) 941-1648
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
171M00000X
Case Manager/Care Coordinator
—
—
222Q00000X
Developmental Therapist
—
—
225100000X
Physical Therapist
—
—
225CX0006X
Orientation and Mobility Training Rehabilitation Counselor
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000007650042
—
PA
05
—
1000007650046
—
PA
05
—
1000007650052
—
PA
Enumeration date
12/05/2006
Last updated
05/07/2015
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