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Organization

ABRAHAM VILLAGE,INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. KEZIAH ESTHER KOHATH (ADMINISTRATOR)
(610) 965-1774
Entity
Organization

Contact information

Practice address
239 WILLOW ST, MACUNGIE, PA 18062-1012
(610) 965-1774
(610) 965-9469
Mailing address
239 WILLOW ST, MACUNGIE, PA 18062-1012
(610) 965-1774
(610) 965-9469

Taxonomy

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

Other

Enumeration date
07/30/2009
Last updated
07/30/2009
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