Organization
PATIENT CARE PENNSYLVANIA II, LLC
Active
Other names
OMNI Personal Care Services
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA L. PROFFITT (PRESIDENT)
(337) 233-1307
Entity
Organization
Contact information
Practice address
1605 N CEDAR CREST BLVD STE 514, ALLENTOWN, PA 18104-2351
(484) 460-2666
(484) 460-2667
Mailing address
PO BOX 51266, LAFAYETTE, LA 70505-1266
(337) 233-1307
(337) 443-4154
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1038138500001
—
PA
Enumeration date
08/10/2020
Last updated
09/11/2024
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