Organization
EBENEZER M. SINGHA
Active
Other names
Samuel's Christian Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ERNESTINE ANDERSON R.N. (NURSING SUPERVISOR)
(724) 643-1000
Entity
Organization
Contact information
Practice address
309 HURON ST, INDUSTRY, PA 15052-1725
(724) 643-1000
(724) 643-1166
Mailing address
309 HURON ST, INDUSTRY, PA 15052-1725
(724) 643-1000
(724) 643-1166
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
02140501
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1009556730001
—
PA
Enumeration date
09/29/2005
Last updated
06/20/2008
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