Organization
PLATINUM PRIVATE DUTY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHARLENE GABRIELLE ONZIK (ADMINISTRATOR)
(570) 288-1452
Entity
Organization
Contact information
Practice address
68 W BENNETT ST, KINGSTON, PA 18704-3906
(570) 288-1452
Mailing address
68 W BENNETT ST, KINGSTON, PA 18704-3906
(570) 288-1452
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
24943601
PA
Other
Enumeration date
02/24/2014
Last updated
02/24/2014
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