Organization
INDEPENDENCE AT HOME LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIANNA R DUKES (OWNER)
(267) 616-3766
Entity
Organization
Contact information
Practice address
422 MAIN ST STE 202, JOHNSTOWN, PA 15901-1824
(582) 400-3028
Mailing address
422 MAIN ST STE 202, JOHNSTOWN, PA 15901-1824
(582) 400-3028
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
09/25/2017
Last updated
05/06/2023
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