| Organization Name: | MEDI HOME HEALTH AGENCY, INC. |
| NPI Number: | 1710178025 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CHRISTINA M JEFFCOAT (VICE PRESIDENT) |
| Mailing Address: | 341 Science Park Rd Ste 207 State College |
| State: | PA US |
| Postal Code: | 168032287 |
| Phone Number: | 8142351048 |
| Fax Number: | 8142351367 |
| NPI Enumeration Date: | 08/05/2007 |
| NPI Last Update Date: | 03/07/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |