39D1020791 CLIA NUMBER - HOSPICE PREFERRED CHOICE INC DBA/ASERACARE HOSPICE

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Laboratory Demographics

CLIA Number: 39D1020791

Facility Name: HOSPICE PREFERRED CHOICE INC DBA/ASERACARE HOSPICE

Facility Address:
1015 LOGAN BLVD
ALTOONA, PA
ZIP 16602
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Facility Phone Number: 814 914-2900

Facility Type: Home Health Agency

Certificate Type: Waiver

NPI Number: 1912941642

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name	Field Value
CLIA Number	39D1020791
LAB Type	Home Health Agency
Facility Name	HOSPICE PREFERRED CHOICE INC DBA/ASERACARE HOSPICE
Street	1015 LOGAN BLVD
City	ALTOONA
State	PA
ZIP	16602
Phone	814 914-2900
CertificateType	4
CertificateEffectiveDate	1/5/2024
CertificateExpirationDate	1/4/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024