Organization
DIVINE PROVIDENCE HOSPITAL OF THE SISTERS OF CHRISTIAN CHARITY
Active
Other names
Susquehanna Home Care & Hospice
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PATRICIA MCGEE RN (ADMINISTRATIVE DIRECTOR)
(570) 320-7690
Entity
Organization
Contact information
Practice address
1100 GRAMPIAN BLVD, 4 SOUTH, WILLIAMSPORT, PA 17701-1909
(570) 320-7690
(570) 320-7898
Mailing address
1100 GRAMPIAN BLVD, 4 SOUTH, WILLIAMSPORT, PA 17701-1909
(570) 320-7690
(570) 320-7898
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
151399
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007563750024
—
PA
01
—
817416
FPH BILLING NUMBER
PA
Enumeration date
06/05/2006
Last updated
05/02/2011
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