| NPI | 1033929641 |
|---|---|
| Former Legal Business Name | PROMINENCES KINDRED CARE |
| Entity Type | Organization |
| Authorized Contact | FREDDIE LEE FAGAN Mr. 717-678-6321 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 376J00000X Homemaker | |
| 385H00000X Respite Care | |
| 385HR2065X Respite Care, Respite Care, Physical Disabilities, Child | |
| Enumeration Date | 2025-01-08 |
| Last Update Date | 2025-01-08 |