Organization
INDEPENDENT LIFE HOME CARE & STAFFING SOLUTIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GERALDINE VICKERS CRNP (DIRECTOR/CEO)
(570) 793-4280
Entity
Organization
Contact information
Practice address
2 OLD ORCHARD LN, MOUNTAIN TOP, PA 18707-1741
(570) 793-4280
Mailing address
2 OLD ORCHARD LN, MOUNTAIN TOP, PA 18707-1741
(570) 793-4280
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
04/19/2016
Last updated
04/19/2016
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