Organization Name: | LIFE CARE HOME SERVICES OF NORTHWESTERN PENNSYLVANIA LLP |
NPI Number: | 1104099191 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KATHY L DUBOWSKI (PRESIDENT) |
Mailing Address: | 1647 Sassafras St Erie |
State: | PA US |
Postal Code: | 165021858 |
Phone Number: | 8148776121 |
Fax Number: | 8148776297 |
NPI Enumeration Date: | 04/10/2008 |
NPI Last Update Date: | 03/17/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 164W00000X |
License Number: | 006305 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PA |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Licensed Practical Nurse |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |