Organization
LANDIS HCBS
Active
Parent organization
LANDIS HCBS, LLC
Other names
Landis Adult Day Services East
Organization subpart
Yes
Provider details
NPI number
Legal business name
LANDIS HCBS, LLC
Authorized official
EVON L BERGEY LCSW (EXECUTIVE DIRECTOR, LANDIS HCBS)
(717) 874-8260
Entity
Organization
Contact information
Practice address
1001 E OREGON RD, LITITZ, PA 17543-9205
(717) 581-3920
Mailing address
1001 E OREGON RD, LITITZ, PA 17543-9205
(717) 581-3920
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103581316-0001
—
PA
Enumeration date
04/24/2019
Last updated
04/24/2019
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