NPI 1689120610

Patrick Dean Homer

Practitioner Funeral Director Dushore, PA

Practice location

Address: 206 Water Street, Dushore, PA 18614-0001
Phone: (570) 928-8163
Fax: (570) 928-8116
Mailing address: PO Box 1 206 Water St, Dushore, PA 18614-0001

Registered specialties

Funeral Director Primary

Other Service Providers Taxonomy 176P00000X Licence 011975-L (PA)

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Registry record

NPI: 1689120610
Entity type: Individual
Sex (as registered): Male
NPI issued: 30 Aug 2016
Record last updated: 30 Aug 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.