Organization
DIVINE PROVIDENCE HOSPITAL OF THE SISTERS OF CHRISTIAN CHARITY
Active
Other names
Susquehanna Home Care & Hospice
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PATRICIA MCGEE RN (ADMINISTRATIVE DIRECTOR)
(570) 320-7690
Entity
Organization
Contact information
Practice address
1100 GRAMPIAN BLVD, 4 SOUTH, WILLIAMSPORT, PA 17701-1909
(570) 320-7690
(570) 320-7692
Mailing address
1100 GRAMPIAN BLVD, 4 SOUTH, WILLIAMSPORT, PA 17701-1909
(570) 320-7690
(570) 320-7692
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
700605
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007563750023
—
PA
01
—
817415
FPH BILLING NUMBER
PA
Enumeration date
05/23/2006
Last updated
01/02/2012
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