Organization
BERWICK HOME CARE SERVICES, LLC
Active
Other names
Commonwealth Hospice of Berwick
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA L. PROFFITT (TREASURER)
(337) 233-1307
Entity
Organization
Contact information
Practice address
1409 WEST MARKET STREET, SUITE 202, BERWICK, PA 18603-2140
(570) 231-5407
(570) 520-4115
Mailing address
PO BOX 51266, LAFAYETTE, LA 70505-1266
(337) 233-1307
(337) 233-5764
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
16361601
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1024488590001
—
PA
Enumeration date
07/10/2006
Last updated
07/29/2020
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