Organization
FAMILY CARE HOME HEALTH AGENCY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD KLINGER (OWNER)
(877) 787-2261
Entity
Organization
Contact information
Practice address
310 MONTOUR BLVD, BLOOMSBURG, PA 17815-8581
(877) 787-2261
Mailing address
310 MONTOUR BLVD, BLOOMSBURG, PA 17815-8581
(877) 787-2261
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
102174520
WAIVER PROVIDER
PA
Enumeration date
07/28/2010
Last updated
07/28/2010
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