Organization Name: | MEDI HOME HEALTH AGENCY, INC. |
NPI Number: | 1275585218 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CHRISTINA M JEFFCOAT (VICE PRESIDENT) |
Mailing Address: | 1001 State Route 30 Irwin |
State: | PA US |
Postal Code: | 156423758 |
Phone Number: | 7248637190 |
Fax Number: | 7248639250 |
NPI Enumeration Date: | 05/17/2006 |
NPI Last Update Date: | 03/07/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | 16341600 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |