Organization Name: | GUTHRIE HOME CARE |
NPI Number: | 1245434356 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | STACI JO COVEY (ADMINISTRATOR) |
Mailing Address: | 421 Tomahawk Rd Towanda |
State: | PA US |
Postal Code: | 188488327 |
Phone Number: | 5702653510 |
Fax Number: | 5702653570 |
NPI Enumeration Date: | 06/13/2007 |
NPI Last Update Date: | 01/13/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | 391564 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |