Provider Demographics
NPI:1396920963
Name:ROBERSON PERSONAL HOME CARE SERVICES INC.
Entity type:Organization
Organization Name:ROBERSON PERSONAL HOME CARE SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:ROBERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:814-453-7698
Mailing Address - Street 1:3220 DAWSON AVENUE
Mailing Address - Street 2:
Mailing Address - City:ERIE
Mailing Address - State:PA
Mailing Address - Zip Code:16504-1934
Mailing Address - Country:US
Mailing Address - Phone:814-453-7698
Mailing Address - Fax:814-453-7663
Practice Address - Street 1:3220 DAWSON AVENUE
Practice Address - Street 2:
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16504-1934
Practice Address - Country:US
Practice Address - Phone:814-453-7698
Practice Address - Fax:814-453-7663
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-02
Last Update Date:2012-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes385H00000XRespite Care FacilityRespite Care
No376J00000XNursing Service Related ProvidersHomemakerGroup - Single Specialty