Organization Name: | BERWICK HOME CARE SERVICES LLC |
NPI Number: | 1457385353 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LAURIE HOLTSFORD (DIRECTOR OF BUSINESS OFFICE SUPPORT) |
Mailing Address: | 109 W 9th St Berwick |
State: | PA US |
Postal Code: | 186033024 |
Phone Number: | 5705204063 |
Fax Number: | 5705204214 |
NPI Enumeration Date: | 07/10/2006 |
NPI Last Update Date: | 03/22/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | 16361601 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |