Organization
RESIDENTIAL HEALTHCARE OF NE PA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN DEWITTE (PRESIDENT)
(877) 421-0917
Entity
Organization
Contact information
Practice address
50 GLENMAURA NATIONAL BLVD STE 202, MOOSIC, PA 18507-2124
(888) 923-5842
Mailing address
400 NORTHPOINTE CIR STE 203, SEVEN FIELDS, PA 16046-7867
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
11/10/2010
Last updated
12/11/2020
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