| Organization Name: | WILKES BARRE HOME CARE SERVICES LLC |
| NPI Number: | 1952544900 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LAURIE HOLTSFORD (AUTHORIZED OFFICIAL) |
| Mailing Address: | 900 Rutter Avenue Suite 8 Forty Fort |
| State: | PA US |
| Postal Code: | 187044962 |
| Phone Number: | 5707184400 |
| Fax Number: | |
| NPI Enumeration Date: | 04/07/2009 |
| NPI Last Update Date: | 07/24/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |