| Organization Name: | VNA OF NORTHWEST PA, LLC |
| NPI Number: | 1114343720 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CYNTHIA A AHLSTROM (REAPONSIBLE OFFICER OF THE BOARD) |
| Mailing Address: | 1223 E Main St Bradford |
| State: | PA US |
| Postal Code: | 167013223 |
| Phone Number: | 8143627466 |
| Fax Number: | 8143624306 |
| NPI Enumeration Date: | 03/07/2014 |
| NPI Last Update Date: | 01/13/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | 151099 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |