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Organization

CONCORDIA VISITING NURSES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MARTIN J. TRETTEL (DIRECTOR OF HOME AND COMMUNITY SERV)
(724) 352-6200
Entity
Organization

Contact information

Practice address
613 N PIKE ROAD, CABOT, PA 16023-2215
(724) 352-6200
(724) 352-3884
Mailing address
613 N PIKE RD, CABOT, PA 16023-2215
(724) 352-6200
(724) 352-3884

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
397717
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1016716570001
PA
Enumeration date
06/01/2005
Last updated
10/18/2021
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