Organization
PHILIP J. ERDOS
Active
Other names
Professional Habilitation Services
Organization subpart
No
Provider details
NPI number
Authorized official
LUKE TIMOTHY ERDOS B.S. BA (DIRECTOR OF OPERATIONS)
(724) 269-7030
Entity
Organization
Contact information
Practice address
8484B SHARON MERCER RD, MERCER, PA 16137-3140
(724) 269-7030
(724) 269-7030
Mailing address
8484B SHARON MERCER RD, MERCER, PA 16137-3140
(724) 269-7030
(724) 269-7030
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
—
—
251J00000X
Nursing Care Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100003471
—
PA
Enumeration date
01/26/2015
Last updated
01/27/2015
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