Organization
CHESTNUTKNOLL AT HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANEAN HUDSON (BILLING SPECIALIST)
(610) 473-7291
Entity
Organization
Contact information
Practice address
1041 E PHILADELPHIA AVE, GILBERTSVILLE, PA 19525-8200
(610) 473-7291
Mailing address
1041 E. PHILADELPHIA AVE., GILBERTSVILLE, PA 19525
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
13263601
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1009438050001
—
PA
Enumeration date
10/31/2011
Last updated
10/31/2011
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