Provider Demographics
NPI:1992239347
Name:EVERYDAY HOME HEALTH CLARKS SUMMIT
Entity type:Organization
Organization Name:EVERYDAY HOME HEALTH CLARKS SUMMIT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:GITOGH
Authorized Official - Middle Name:
Authorized Official - Last Name:KABIRU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:484-505-6373
Mailing Address - Street 1:51 W END TRL UNIT 395
Mailing Address - Street 2:
Mailing Address - City:MACUNGIE
Mailing Address - State:PA
Mailing Address - Zip Code:18062-5013
Mailing Address - Country:US
Mailing Address - Phone:484-505-6373
Mailing Address - Fax:610-351-2676
Practice Address - Street 1:700 SOUTH STATE STREET
Practice Address - Street 2:
Practice Address - City:CLARKS SUMMIT
Practice Address - State:PA
Practice Address - Zip Code:18411-1539
Practice Address - Country:US
Practice Address - Phone:610-966-2676
Practice Address - Fax:610-351-2676
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-12
Last Update Date:2017-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health