Organization
HOMECARE OF PENNSYLVANIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA CRAIG (PROJECT MANAGER)
(570) 468-0589
Entity
Organization
Contact information
Practice address
239 MAIN ST, SUITE 301, DICKSON CITY, PA 18519-1653
(570) 468-0589
Mailing address
239 MAIN ST, SUITE 301, DICKSON CITY, PA 18519-1653
(570) 468-0589
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
126303
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1032167970001
—
PA
Enumeration date
02/09/2017
Last updated
02/09/2017
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