Organization
HEALTHCARE LICENSED PERSONNEL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY JENKINS (BUSINESS MANAGER)
(724) 200-2214
Entity
Organization
Contact information
Practice address
406 ARTHUR ST, KOPPEL, PA 16136-1159
(724) 200-2214
(724) 200-2214
Mailing address
PO BOX 587, KOPPEL, PA 16136-0587
(724) 200-2214
(724) 200-2214
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
06/18/2025
Last updated
06/18/2025
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