Organization
FAMILY TIES HOME CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NICHOLE R TRUMP (CORPORATE PRESIDENT)
(724) 208-6963
Entity
Organization
Contact information
Practice address
58 E GREENE ST, WAYNESBURG, PA 15370-1846
(724) 852-1588
Mailing address
58 E GREENE ST, WAYNESBURG, PA 15370-1846
(724) 852-1588
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
25743601
PA
Other
Enumeration date
06/17/2014
Last updated
06/17/2014
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