Organization
IN HOME SERVICES OF CENTRAL PA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENTON STUCK (CEO/OWNER)
(888) 881-2046
Entity
Organization
Contact information
Practice address
20 WINDMILL HL STE 7, BURNHAM, PA 17009-1837
(888) 881-2046
Mailing address
20 WINDMILL HL STE 7, BURNHAM, PA 17009-1837
(888) 881-2046
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
27353601
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1030851110001
—
PA
Enumeration date
08/10/2016
Last updated
08/10/2016
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