Organization
AT HOME QUALITY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TRACIE COLLINS-BURNS (AR BILLING MANAGER/CONTRACTS)
(551) 223-1941
Entity
Organization
Contact information
Practice address
23 NORTH DERR DRIVE, SUITE 24, LEWISBURG, PA 17837-1324
(570) 587-4700
(201) 621-4325
Mailing address
611 ROUTE 46 WEST, SUITE 200, HASBROUCK HEIGHTS, NJ 07604-1307
(551) 223-1941
(201) 621-4325
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1024949780002
—
PA
Enumeration date
12/05/2019
Last updated
12/05/2019
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