Organization
SCRANTON QUINCY HOME CARE SERVICES
Active
Other names
Commonwealth Home Health of Moses Taylor
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSHUA L. PROFFITT (TREASURER)
(337) 233-1307
Entity
Organization
Contact information
Practice address
3 W OLIVE ST STE 206, SCRANTON, PA 18508-2574
(570) 800-5557
(570) 800-5554
Mailing address
PO BOX 51266, LAFAYETTE, LA 70505-1266
(337) 223-1307
(337) 443-4154
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1027966920002
—
PA
Enumeration date
01/10/2012
Last updated
07/29/2020
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