Organization
PREFERRED HOME HEALTH CARE CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARIE FEDOR (ADMINISTRATOR)
(570) 824-9811
Entity
Organization
Contact information
Practice address
328 SCOTT ST, WILKES BARRE, PA 18702-5535
(570) 824-9811
(570) 821-4519
Mailing address
328 SCOTT ST, WILKES BARRE, PA 18702-5535
(570) 824-9811
(570) 821-4519
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
7510
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012783590003
—
PA
Enumeration date
05/31/2005
Last updated
03/01/2010
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