Organization
PROSTAT, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID EUGENE SHELLY (COO)
(610) 736-9000
Entity
Organization
Contact information
Practice address
19601 BERNVILLE RD, READING, PA 19601-1113
(610) 736-9000
(610) 736-9006
Mailing address
1901 BERNVILLE RD., READING, PA 19601-1113
(610) 736-9000
(610) 736-9006
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
13773601
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1024232050001
—
PA
05
—
1024232050002
—
PA
05
—
1024232050003
—
PA
Enumeration date
03/23/2010
Last updated
10/11/2012
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