Organization
ERIE INDEPENDENCE HOUSE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL F BEHNKEN (CONTROLLER)
(814) 461-9188
Entity
Organization
Contact information
Practice address
1611 PEACH ST, SUITE 145, ERIE, PA 16501-2109
(814) 461-9188
(814) 461-0232
Mailing address
1611 PEACH ST, SUITE 145, ERIE, PA 16501-2109
(814) 461-9188
(814) 461-0232
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
251J00000X
Nursing Care Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007694800003
—
PA
Enumeration date
06/02/2009
Last updated
06/02/2009
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