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Organization

OSPTA HOME, LLC

Active
Parent organization
OSPTA HOME, LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
OSPTA HOME, LLC
Authorized official
JENNIFER LEE POPELAS (BILLING MANAGER)
(724) 565-5804
Entity
Organization

Contact information

Practice address
4325 STATE ROUTE 51, ROSTRAVER TOWNSHIP, PA 15012-3535
(724) 483-4859
(724) 798-8367
Mailing address
4325 STATE ROUTE 51, ROSTRAVER TOWNSHIP, PA 15012-3535
(724) 483-4859
(724) 798-8367

Taxonomy

Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary

Other

Enumeration date
01/14/2025
Last updated
01/14/2025
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