Organization
HOME HEALTH & SUPPORT SERVICES, INC.
Active
Other names
Lori's Angels
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LORI ANN MICHAEL RN (EXECUTIVE DIRECTOR)
(570) 385-8450
Entity
Organization
Contact information
Practice address
223 ROUTE 61 S, SCHUYLKILL HAVEN, PA 17972-9704
(570) 385-8450
(570) 385-8451
Mailing address
223 ROUTE 61 S, SCHUYLKILL HAVEN, PA 17972-9704
(570) 385-8450
(570) 385-8451
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
—
164W00000X
Licensed Practical Nurse
—
—
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1011280690001
—
PA
05
—
1011280690002
—
PA
05
—
1011280690005
—
PA
Enumeration date
03/12/2007
Last updated
10/25/2007
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