Organization
AT HOME SPECIAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TONYA DIANN MCCLELLAN (DIRECTOR/OWNER)
(814) 201-2219
Entity
Organization
Contact information
Practice address
1301 9TH ST, ALTOONA, PA 16601-4713
(814) 201-2219
(814) 201-2219
Mailing address
1301 9TH ST, ALTOONA, PA 16601-4713
(814) 201-2219
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary
34893601
PA
372600000X
Adult Companion
34893601
PA
Other
Enumeration date
09/26/2017
Last updated
09/26/2017
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