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Organization

HOME NURSING AGENCY COMMUNITY SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PHILIP L FREEMAN (PRESIDENT)
(814) 946-5411
Entity
Organization

Contact information

Practice address
1216 PLEASANT VALLEY BOULEVARD, SUITE 208 - PRIVATE DUTY, ALTOONA, PA 16602-4750
(814) 946-5411
(814) 940-8471
Mailing address
201 CHESTNUT AVE, PRIVATE DUTY, ALTOONA, PA 16601-4927
(814) 946-5411
(814) 942-1673

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
15283601
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1000007650039
PA
Enumeration date
11/13/2006
Last updated
04/24/2015
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