Individual
STEPHEN A ADU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
201 RIDINGS CIR, MACUNGIE, PA 18062-1808
(512) 919-0131
Mailing address
201 RIDINGS CIR, MACUNGIE, PA 18062-1808
(512) 919-0131
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
60783601
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
60783601
HOME CARE AGENCY NUMBER
PA
Enumeration date
01/03/2022
Last updated
01/03/2022
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