{
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"FirstLineMailingAddress": "239 WILLOW ST",
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"MailingAddressCityName": "MACUNGIE",
"MailingAddressStateName": "PA",
"MailingAddressPostalCode": "18062-1012",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "610-965-1774",
"MailingAddressFaxNumber": "610-965-9469",
"FirstLinePracticeLocationAddress": "239 WILLOW ST",
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"PracticeLocationAddressCityName": "MACUNGIE",
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"PracticeLocationAddressFaxNumber": "610-965-9469",
"EnumerationDate": "07/30/2009",
"LastUpdateDate": "07/30/2009",
"NPIDeactivationReasonCode": null,
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"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "KOHATH",
"AuthorizedOfficialFirstName": "KEZIAH",
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "610-965-1774",
"Taxonomies": {
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"TaxonomyName": "In Home Supportive Care Agency",
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"PrimaryTaxonomySwitch": "Y"
}
},
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}
}