Organization
HOME HEALTH AGENCY - PENNSYLVANIA, LLC
Active
Other names
Omni Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSHUA L PROFFITT (PRESIDENT)
(337) 233-1307
Entity
Organization
Contact information
Practice address
6000 TOWN CENTER BLVD STE 325, CANONSBURG, PA 15317-5841
(412) 276-5030
(412) 276-5937
Mailing address
PO BOX 51266, LAFAYETTE, LA 70505-1266
(800) 489-1307
(337) 233-5764
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
77670501
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1037251300001
—
PA
Enumeration date
09/08/2005
Last updated
05/24/2024
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