Organization
WATWO
Active
Other names
Family Home Medical Support Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WARREN D ALTOMARE (CEO)
(570) 339-4049
Entity
Organization
Contact information
Practice address
121 E 5TH ST, MOUNT CARMEL, PA 17851-2140
(570) 339-4049
Mailing address
121 E 5TH ST, MOUNT CARMEL, PA 17851-2140
(570) 339-4049
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1001785490002
—
PA
Enumeration date
07/13/2007
Last updated
07/13/2007
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