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NPI Code Detail

MEDICARE: SENIORS CHOICE HOME CARE, LLC

MEDICARE: SENIORS CHOICE HOME CARE, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251E00000XHome Health Agency95460496PA

General Provider Information

NPI Number : 1619305745
Entity Type Code : Organization
Provider Name (Legal Business Name) : SENIORS CHOICE HOME CARE, LLC
Provider Business Mailing Address
First Line : 4112 MAIN ST
Second Line :
City : ERIE
State : PA
Zip : 16511-1968
Country : US
Telephone Number : 814-315-0319
Fax Number :
Provider Business Practice Location Address
First Line : 4112 MAIN ST
Second Line :
City : ERIE
State : PA
Zip : 16511-1968
Country : US
Telephone Number : 814-315-0319
Fax Number :
Authorized Official
Title or Position : CSM
Name : JASON BLAKE
Credential :
Telephone Number : 814-315-0301
Provider Enumeration Date : 10/29/2013
Last Update Date : 08/06/2021

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Directions to “SENIORS CHOICE HOME CARE, LLC ” Practice Location

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