Organization Name: | ERWINES PRIVATE DUTY HEALTH CARE, INC. |
NPI Number: | 1023017787 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARY J ERWINE (PRESIDENT) |
Mailing Address: | 270 Pierce St Suite 208 Kingston |
State: | PA US |
Postal Code: | 187045141 |
Phone Number: | 5702883833 |
Fax Number: | 5702833722 |
NPI Enumeration Date: | 07/15/2005 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 385H00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Respite Care Facility |
Taxonomy Classification: | Respite Care |
Taxonomy Specialization: | |
Taxonomy Definition: |