Organization
LANDIS HCBS
Active
Organization
LANDIS HCBS
Active
Parent organization
LANDIS HCBS, LLC
Other names
Landis Adult Day Services-Eden West
Organization subpart
Yes
Provider details
NPI number
Legal business name
LANDIS HCBS, LLC
Authorized official
MS. EVON BERGEY (EXECUTIVE DIRECTOR, HCBS)
(717) 381-3559
Entity
Organization
Contact information
Practice address
1001 E OREGON RD, LITITZ, PA 17543-9205
(717) 581-3920
Mailing address
1001 E OREGON RD, LITITZ, PA 17543-9205
(717) 581-3920
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103581316-002
—
PA
Enumeration date
04/16/2019
Last updated
04/16/2019
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