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HOME NURSING AGENCY COMMUNITY SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ROBERT R PACKER (CEO)
(814) 946-5411
Entity
Organization

Contact information

Practice address
450 WINDMERE DRIVE-EARLY INTERVENTION CENTRE, SUITE 100, STATE COLLEGE, PA 16801-7645
(814) 946-0261
(814) 944-7413
Mailing address
201 CHESTNUT AVE, ALTOONA, PA 16601-4927
(814) 946-5411
(814) 940-8471

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
171M00000X
Case Manager/Care Coordinator
222Q00000X
Developmental Therapist
225100000X
Physical Therapist
225CX0006X
Orientation and Mobility Training Rehabilitation Counselor
225X00000X
Occupational Therapist
235Z00000X
Speech-Language Pathologist
252Y00000X
Early Intervention Provider Agency
Primary

Other

Enumeration date
10/07/2014
Last updated
10/07/2014
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