Organization
PEDIATRIC NURSING SPECIALISTS OF PENNSYLVANIA, INC.
Active
Other names
Deaconess HomeCare
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NANCY C JAKUS RN BSN MBA (VICE PRESIDENT OF OPERATIONS)
(601) 268-1842
Entity
Organization
Contact information
Practice address
4730 CLAIRTON BLVD, PITTSBURGH, PA 15236-2159
(412) 885-0184
(412) 885-6495
Mailing address
PO BOX 16809, HATTIESBURG, MS 39404-6809
(601) 268-1842
(601) 268-7898
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
748705
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01597280
—
PA
Enumeration date
10/27/2005
Last updated
08/22/2020
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