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Provider Demographic Information - PRN MEDICAL STAFFING OF LEWISTOWN LLC

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PROVIDER DEMOGRAPHIC INFORMATION Supporting line for group header


Name:	PRN MEDICAL STAFFING OF LEWISTOWN LLC
Address:	7 ORT VALLEY RD STE B LEWISTOWN, PA 17044-1336
Phone:	(717) 242-4403
Fax:	(717) 242-4416
E-mail:	PRNMEDSTAFF@VERIZON.NET
Web Site:	N/A

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PROVIDER CERTIFICATION INFORMATION Supporting line for group header

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

No parent or regional addresses are listed for this provider.

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PROVIDER SERVICES AND RATES Supporting line for group header


County : Clearfield/Jefferson
\|Service Name / Level	\|Rate

In-Home & Commnty Supprts (Lvl 2)	$11.10 / 15 min.

County : Columbia/Montour/Snyder/Union
\|Service Name / Level	\|Rate

In-Home & Commnty Supprts (Lvl 2)	$11.10 / 15 min.

County : Huntingdon/Mifflin/Juniata
\|Service Name / Level	\|Rate

In-Home & Commnty Supprts (Lvl 2)	$11.10 / 15 min.
Respite-Unlic-15-min(Level 3, 1:1)In-Home	$8.59 / 15 min.

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