Organization
NEW PROVIDENCE HOME HEALTH CARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BONIFACE ONYEBUCHI EGUZOUWA (ADMINISTRATOR)
(717) 786-9254
Entity
Organization
Contact information
Practice address
56 SCHELLER RD, NEW PROVIDENCE, PA 17560-9713
(717) 786-9254
(717) 786-9135
Mailing address
56 SCHELLER RD, NEW PROVIDENCE, PA 17560-9713
(717) 786-9254
(717) 786-9135
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1024402600001
—
PA
Enumeration date
12/13/2011
Last updated
12/13/2011
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