Organization
HOME HEALTH AGENCY CENTRAL PENNSYLVANIA, LLC
Active
Other names
Omni Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSHUA L. PROFFITT (PRESIDENT)
(337) 233-1307
Entity
Organization
Contact information
Practice address
221 HOSPITAL DR STE 2, TYRONE, PA 16686-1826
(814) 684-7366
(814) 674-7368
Mailing address
PO BOX 51266, LAFAYETTE, LA 70505-1266
(337) 233-1307
(337) 443-4154
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
77960501
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1037316920001
—
PA
Enumeration date
09/08/2005
Last updated
10/04/2024
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