Organization
ACCESSING INDEPENDENCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BYRON BOYD (PROGRAM DIRECTOR)
(717) 368-3340
Entity
Organization
Contact information
Practice address
1325 ELM AVE, LANCASTER, PA 17603-4632
(717) 509-0251
Mailing address
1901 OLDE HOMESTEAD LN, LANCASTER, PA 17601-5824
(717) 397-1841
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
261QA0600X
Adult Day Care Clinic/Center
—
—
385H00000X
Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10092464000001
—
PA
Enumeration date
12/04/2012
Last updated
07/03/2019
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