Organization
WILKES BARRE HOME CARE SERVICES LLC
Active
Other names
Commonwealth Home Health & Hospice of Wilkes-Barre
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSHUA L. PROFFITT (TREASURER)
(337) 223-1307
Entity
Organization
Contact information
Practice address
900 RUTTER AVENUE, SUITE 8, FORTY FORT, PA 18704-4962
(570) 718-4400
(570) 718-4823
Mailing address
PO BOX 51266, LAFAYETTE, LA 70505-1266
(337) 223-1307
(337) 443-4154
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1024334440003
—
PA
Enumeration date
04/06/2009
Last updated
07/29/2020
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