Doctor Name: | MICHELE KATZENMOYER |
NPI Number: | 1295138295 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 26323601 |
Business Practice Address: | 500 Elm St Leesport, PA - 195339500 |
Business Phone Number: | 4846713039 |
Business Fax Number: | 4846712913 |
Mailing Address: | 500 Elm St, LEESPORT |
State: | PA |
Postal Code: | 195339500 |
Phone Number: | 4846713039 |
Fax Number: | 4846712913 |
NPI Enumeration Date: | 10/03/2014 |
NPI Last Update Date: | 10/03/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 253Z00000X |
License Number: | 26323601 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Agencies |
Taxonomy Classification: | In Home Supportive Care |
Taxonomy Specialization: | |
Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |