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General NPI Number Information
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NPI Number | 1801759204
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Entity Type | Organization
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Legal Business Name | HEARTLAND ADULT DAY PROGRAM DBA EMMUCARE #1
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Dates
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Enumeration Date | 12/03/2025
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Last Update Date | 12/03/2025
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Provider Practice Location Address
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Address Line | 46 ELEMENTARY LANE
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City | WOOLRICH
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State | PA
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Zip | 17779
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Country | US
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Telephone | 570-769-2506
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Fax | 570-769-2508
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Provider Business Mailing Address
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Address Line | 46 ELEMENTARY LANE PO BOX 209
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City | WOOLRICH
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State | PA
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Zip | 17779
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Country | US
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Telephone | 570-769-2506
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Fax | 570-769-2508
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Authorized Official
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Title or Position | CEO
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Name | CHRISTINA MARIE CALLAHAN
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Credential | ADMINISTRATOR
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Telephone | 570-769-2506
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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