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Organization

DICKS HOME CARE INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. RANDY EDWARD DICK (PRESIDENT)
(814) 949-6764
Entity
Organization

Contact information

Practice address
1063 N FRONT ST, PHILIPSBURG, PA 16866-8258
(814) 342-0900
(814) 342-7049
Mailing address
401 MAPLE AVE, ALTOONA, PA 16601-4170

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1007550730002
PA
01
232694
HIGHMARK
PA
01
39HA34
CAPITAL BLUE CROSS
PA
Enumeration date
08/09/2006
Last updated
05/03/2011
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