Organization
SPECIALTY HOME CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONALD F DAVIS ESQ. (PRESIDENT)
(717) 533-4400
Entity
Organization
Contact information
Practice address
1251 E CHOCOLATE AVE, HERSHEY, PA 17033-1254
(717) 533-4400
(717) 533-4422
Mailing address
PO BOX 362, HERSHEY, PA 17033-0362
(717) 533-4400
(717) 533-4422
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
22263601
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1026952140001
—
PA
01
—
22263601
STATE DEPT OF HEALTH
PA
Enumeration date
08/24/2016
Last updated
08/24/2016
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