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Provider Demographic Information - PORTRAITS OF LIFE ADULT DAY SE

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PROVIDER DEMOGRAPHIC INFORMATION Supporting line for group header


Name:	PORTRAITS OF LIFE ADULT DAY SE
Address:	419 MARKET ST LYKENS, PA 17048-1316
Phone:	(717) 453-7080
Fax:	(717) 453-1044
Web Site:	N/A

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PROVIDER CERTIFICATION INFORMATION Supporting line for group header

Click here to view Provider Certification Information

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PROVIDER'S PARENT/ REGIONAL OFFICE Supporting line for group header


Type:	Corporate Office
Name:	Portraits of Life Adult Day Services Inc.
Address:	419 MARKET ST LYKENS, PA 17048-1316
Phone:	(717) 453-9355
Fax:	(717) 453-0846

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PROVIDER SERVICES AND RATES Supporting line for group header


County : Dauphin
\|Service Name / Level	\|Rate

In-Home & Commnty Supprts (Lvl 2)	Not Set
Transportation(Zone 1)-Trip	$33.83 / Trip

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