Healthcare Provider Details

I. General information

NPI: 1477885622
Provider Name (Legal Business Name): PRIVATE CARE RESOURCES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/12/2010
Last Update Date: 02/12/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

125 MAPLE HOLLOW RD
DUNCANSVILLE PA
16635-7920
US

IV. Provider business mailing address

125 MAPLE HOLLOW RD
DUNCANSVILLE PA
16635-7920
US

V. Phone/Fax

Practice location:
  • Phone: 814-693-2273
  • Fax: 814-693-1191
Mailing address:
  • Phone: 814-693-2273
  • Fax: 814-693-1191

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number02200501
License Number StatePA

VIII. Authorized Official

Name: MRS. THERESE ANN BENDER
Title or Position: PRES/CEO
Credential: MHA,BSN,RNC,CMC
Phone: 814-693-2273