Organization
INNOVATION LIFE CARE, LLC
Active
Other names
Brightstar of Wilkes Barre
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TARA SCARANTINO (PRESIDENT)
(570) 362-8725
Entity
Organization
Contact information
Practice address
561 N MAIN ST, PITTSTON, PA 18640-2203
(570) 602-1560
(570) 602-1569
Mailing address
561 N MAIN ST, PITTSTON, PA 18640-2203
(570) 602-1560
(570) 602-1569
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
20053601
PA
Other
Enumeration date
10/20/2010
Last updated
10/20/2010
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