| NPI | 1164920104 |
|---|---|
| Doing Business As | PENNSTATE HOME CARE SERVICES |
| Entity Type | Organization |
| Authorized Contact | HUSSEIN A AHMED President 267-297-7265 |
| Organization Subpart ? | No |
| Primary Taxonomy | 374U00000X Home Health Aide |
| Enumeration Date | 2018-01-24 |
| Last Update Date | 2018-01-24 |