Organization
PEACE HOME HEALTH CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GOPAL BASKOTA (PROGRAM DIRECTOR)
(717) 317-7413
Entity
Organization
Contact information
Practice address
5745 WILSON DR, BETHEL PARK, PA 15102-3339
(717) 317-7413
Mailing address
5745 WILSON DR, BETHEL PARK, PA 15102-3339
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65443601
—
PA
Enumeration date
04/11/2022
Last updated
04/11/2022
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