Provider Demographics
NPI:1487194593
Name:EVERYDAY HOME CARE CLARKS SUMMIT
Entity Type:Organization
Organization Name:EVERYDAY HOME CARE CLARKS SUMMIT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:KABIRU
Authorized Official - Middle Name:
Authorized Official - Last Name:GITOGOH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:484-505-6373
Mailing Address - Street 1:395 W END TRAIL
Mailing Address - Street 2:
Mailing Address - City:MACUNGIE
Mailing Address - State:PA
Mailing Address - Zip Code:18062
Mailing Address - Country:US
Mailing Address - Phone:484-505-6373
Mailing Address - Fax:
Practice Address - Street 1:395 W END TRAIL
Practice Address - Street 2:
Practice Address - City:MACUNGIE
Practice Address - State:PA
Practice Address - Zip Code:18062-8216
Practice Address - Country:US
Practice Address - Phone:484-505-6373
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-08
Last Update Date:2017-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care