Healthcare Provider Details

I. General information

NPI: 1225312267
Provider Name (Legal Business Name): SAINT JOSEPH PERSONAL CARE CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/10/2011
Last Update Date: 02/19/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13 E PLUMSTEAD AVE SUITE 2
LANSDOWNE PA
19050-1241
US

IV. Provider business mailing address

13 E PLUMSTEAD AVE SUITE 2
LANSDOWNE PA
19050-1241
US

V. Phone/Fax

Practice location:
  • Phone: 484-463-0598
  • Fax: 484-463-0899
Mailing address:
  • Phone: 484-463-0598
  • Fax: 484-463-0599

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251V00000X
TaxonomyVoluntary or Charitable Agency
License Number
License Number State

VIII. Authorized Official

Name: MISS ANGELA L PARASHOS
Title or Position: OFFICE MANAGER / SECRETERY
Credential:
Phone: 484-463-0598