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Organization
INTERIM HEALTHCARE OF WESTERN PENNSYLVANIA INC
Active
Organization
INTERIM HEALTHCARE OF WESTERN PENNSYLVANIA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALISHA M HEINDL RN (DIRECTOR/MANAGER)
(814) 375-9615
Entity
Organization
Contact information
Practice address
127 N BRADY ST, SUITE B, DU BOIS, PA 15801-2257
(814) 375-9615
(814) 375-1362
Mailing address
127 N BRADY ST, DU BOIS, PA 15801-2227
(814) 375-9615
(814) 375-1362
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
008501
CLEAR-JEFF MHMR (HS)
PA
01
—
008509
CLEAR-JEFF MHMR (EI)
PA
01
—
008518
CLEAR-JEFF MHMR (HS)
PA
05
—
10000084500008
—
PA
05
—
1000008450005
—
PA
05
—
1000008450010
—
PA
05
—
1000008450012
—
PA
05
—
1000008450013
—
PA
05
—
105044
—
PA
01
—
1065
BLUE CROSS
PA
05
—
1511022
—
PA
01
—
61-34
VENANGO COUNTY MH/MR
PA
Enumeration date
08/25/2005
Last updated
05/03/2023
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