MEDICARE: PREFERRED HOME HEALTH CARE CORPORATION

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
1	251E00000X	Home Health Agency	7510	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1750384087
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PREFERRED HOME HEALTH CARE CORPORATION

Provider Business Mailing Address
First Line	:	328 SCOTT ST
Second Line	:
City	:	WILKES BARRE
State	:	PA
Zip	:	18702-5535
Country	:	US
Telephone Number	:	570-824-9811
Fax Number	:	570-821-4519

Provider Business Practice Location Address
First Line	:	328 SCOTT ST
Second Line	:
City	:	WILKES BARRE
State	:	PA
Zip	:	18702-5535
Country	:	US
Telephone Number	:	570-824-9811
Fax Number	:	570-821-4519

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MS. MARIE FEDOR
Credential	:
Telephone Number	:	570-824-9811

Provider Enumeration Date	:	05/31/2005
Last Update Date	:	03/01/2010

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Directions to “PREFERRED HOME HEALTH CARE CORPORATION ” Practice Location

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