Organization
OMNI HEALTH SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL THEVAR LSW (PRESIDENT)
(215) 997-2000
Entity
Organization
Contact information
Practice address
2100 FERRY ST LOWR LEVEL, EASTON, PA 18042-3815
(610) 250-9300
Mailing address
PO BOX 454, MONTGOMERYVILLE, PA 18936-0454
(215) 997-2000
(215) 997-2282
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1020016630018
—
PA
Enumeration date
04/07/2014
Last updated
11/29/2021
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