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NPI Code Detail

MEDICARE: SAMARITANS-AT-LAST LLC

MEDICARE: SAMARITANS-AT-LAST 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 Agency19993601PA

Other Identifiers

General Provider Information

NPI Number : 1821298712
Entity Type Code : Organization
Provider Name (Legal Business Name) : SAMARITANS-AT-LAST LLC
Provider Business Mailing Address
First Line : 1055 WESTLAKES DR
Second Line : SUITE 300
City : BERWYN
State : PA
Zip : 19312-2410
Country : US
Telephone Number : 610-517-5560
Fax Number : 610-500-5223
Provider Business Practice Location Address
First Line : 1055 WESTLAKES DR
Second Line : SUITE 300
City : BERWYN
State : PA
Zip : 19312-2410
Country : US
Telephone Number : 610-566-1361
Fax Number : 610-500-5223
Authorized Official
Title or Position : CEO
Name : MR. DAVIS MENYA
Credential :
Telephone Number : 610-566-1361
Provider Enumeration Date : 07/19/2007
Last Update Date : 04/27/2017

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Directions to “SAMARITANS-AT-LAST LLC ” Practice Location

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