Organization
PROACTIVE LIVING HOMECARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LANISE JONES (PRESIDENT)
(724) 516-1449
Entity
Organization
Contact information
Practice address
509 WALNUT ST FL 2, IRWIN, PA 15642-3531
(724) 516-1449
Mailing address
509 WALNUT ST FL 2, IRWIN, PA 15642-3531
(724) 516-1449
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
05/20/2024
Last updated
05/20/2024
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