Basic Information
| Provider Information | |||||||||
| NPI: | 1093062218 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | HOME NURSING AGENCY & VISITING NURSE ASSOCIATION | ||||||||
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| Mailing Information | |||||||||
| Address1: | 201 CHESTNUT AVENUE HOSPICE | ||||||||
| Address2: | |||||||||
| City: | ALTOONA | ||||||||
| State: | PA | ||||||||
| PostalCode: | 166014927 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8149465411 | ||||||||
| FaxNumber: | 8149408471 | ||||||||
| Practice Location | |||||||||
| Address1: | 320 FRANKLIN STREET HOSPICE | ||||||||
| Address2: | |||||||||
| City: | CLYMER | ||||||||
| State: | PA | ||||||||
| PostalCode: | 157281181 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7242543500 | ||||||||
| FaxNumber: | 7242543503 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/07/2012 | ||||||||
| LastUpdateDate: | 09/12/2012 | ||||||||
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| AuthorizedOfficialLastName: | PACKER | ||||||||
| AuthorizedOfficialFirstName: | ROBERT | ||||||||
| AuthorizedOfficialMiddleName: | R | ||||||||
| AuthorizedOfficialTitleorPosition: | CEO | ||||||||
| AuthorizedOfficialTelephone: | 8149465411 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 251G00000X | Y | Agencies | Hospice Care, Community Based |
No ID Information.