Organization Name: | BETHANY HOSPICE SERVICES OF WESTERN PENNSYLVANIA, LLC |
NPI Number: | 1770583908 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DIANE L MEAD (PRESIDENT) |
Mailing Address: | 875 Greentree Rd Ste 100 Six Parkway Center Pittsburgh |
State: | PA US |
Postal Code: | 152203508 |
Phone Number: | 4129212209 |
Fax Number: | 4129212552 |
NPI Enumeration Date: | 07/29/2005 |
NPI Last Update Date: | 12/16/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | 16641601 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |