Provider Demographics
NPI:1033635479
Name:COUNTY HOMEMAKERS SCE INC
Entity Type:Organization
Organization Name:COUNTY HOMEMAKERS SCE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:
Authorized Official - Last Name:CARLSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:814-371-6645
Mailing Address - Street 1:215 HAHNE CT
Mailing Address - Street 2:
Mailing Address - City:DU BOIS
Mailing Address - State:PA
Mailing Address - Zip Code:15801-1507
Mailing Address - Country:US
Mailing Address - Phone:814-371-6645
Mailing Address - Fax:814-371-2124
Practice Address - Street 1:215 HAHNE CT
Practice Address - Street 2:
Practice Address - City:DU BOIS
Practice Address - State:PA
Practice Address - Zip Code:15801-1507
Practice Address - Country:US
Practice Address - Phone:814-371-6645
Practice Address - Fax:814-371-2124
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-17
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA102735937Medicaid