Organization
PRIVATE HOME CARE SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY LYNN WILSON (EXECUTIVE DIRECTOR)
(570) 476-3100
Entity
Organization
Contact information
Practice address
237 PHYLLIS CT, STROUDSBURG, PA 18360-7488
(570) 476-3100
(570) 517-0752
Mailing address
237 PHYLLIS CT, STROUDSBURG, PA 18360-7488
(570) 476-3100
(570) 517-0752
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
06/26/2007
Last updated
02/19/2015
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