Organization
JPV SALES INC
Active
Other names
COMFORT KEEPERS #358
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN VITO RN, BSN (PRESIDENT)
(570) 307-0414
Entity
Organization
Contact information
Practice address
412 LACKAWANNA AVE, OLYPHANT, PA 18447-1524
(570) 307-0414
(570) 307-0422
Mailing address
412 LACKAWANNA AVE, OLYPHANT, PA 18447-1524
(570) 307-0414
(570) 307-0422
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
10233601
PA
253Z00000X
In Home Supportive Care Agency
Primary
10233601
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1023861480013
—
PA
Enumeration date
08/06/2010
Last updated
08/06/2010
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