Organization
INNER CIRCLE HOME CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JILL COREY (COO)
(814) 866-2919
Entity
Organization
Contact information
Practice address
75 E MAIDEN ST STE 200, WASHINGTON, PA 15301-4963
(814) 759-4362
(888) 418-7715
Mailing address
5 W 10TH ST STE 300, ERIE, PA 16501-1429
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1032544930001
—
PA
Enumeration date
07/16/2018
Last updated
07/16/2018
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