Organization
SUPPORTS COORDINATION GROUP, LLC
Active
Other names
PA Health Management
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY JUDGE (DIRECTOR OF HUMAN RESOURCES)
(717) 598-2871
Entity
Organization
Contact information
Practice address
2141 OREGON PIKE, LANCASTER, PA 17601-4604
(717) 598-2871
Mailing address
2141 OREGON PIKE, LANCASTER, PA 17601-4604
(717) 598-2871
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
—
—
164W00000X
Licensed Practical Nurse
—
—
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
12/27/2012
Last updated
05/10/2021
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