Haven Community Health Services, Llc

NPI 1407193774 - In Home Supportive Care - 253Z00000X

NPI Details
NPI 1407193774
Enumeration Date 01/07/2013
Last Updated 01/07/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name TERRY M TERRY
Position EXECUTIVE DIRECTOR
Phone (570) 244-7952
Fax
Practice Location
11 CARLEY LN
COUDERSPORT PA, 16915-8304, US
Phone (570) 244-7952
Fax
Business Location
11 CARLEY LN
COUDERSPORT PA, 16915-8304, US
Phone (570) 244-7952
Fax
Toxanomy
Taxonomy Code 253Z00000X
License State Pennsylvania
License Number 23723601
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According to our database, Haven Community Health Services, Llc NPI is 1407193774, taxonomy code is 253Z00000X and license number is 23723601, license state is located at Pennsylvania. Haven Community Health Services, Llc physically located at 11 Carley Ln, Coudersport PA, 16915-8304. NPI Number 1033115704 has the healthcare provider type.

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1407193774 NPI number is provided on an as is basis without warranty of any kind. 1407193774 is maintained by the National Plan & Provider Enumeration System. The contents of Haven Community Health Services, Llc are for informational purposes only.