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NPI Code Detail

MEDICARE: HOMECARE OF PENNSYLVANIA

MEDICARE: HOMECARE OF PENNSYLVANIA
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
1171W00000XContractor126303PA

Other Identifiers

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

General Provider Information

NPI Number : 1811435936
Entity Type Code : Organization
Provider Name (Legal Business Name) : HOMECARE OF PENNSYLVANIA
Provider Business Mailing Address
First Line : 239 MAIN ST
Second Line : SUITE 301
City : DICKSON CITY
State : PA
Zip : 18519-1653
Country : US
Telephone Number : 570-468-0589
Fax Number :
Provider Business Practice Location Address
First Line : 239 MAIN ST
Second Line : SUITE 301
City : DICKSON CITY
State : PA
Zip : 18519-1653
Country : US
Telephone Number : 570-468-0589
Fax Number :
Authorized Official
Title or Position : PROJECT MANAGER
Name : MELISSA CRAIG
Credential :
Telephone Number : 570-468-0589
Provider Enumeration Date : 02/09/2017
Last Update Date : 02/09/2017

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Directions to “HOMECARE OF PENNSYLVANIA ” Practice Location

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