Organization
HICKORY HOME HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMANDA LOWE (ASST. ADMINISTRATOR)
(724) 326-2260
Entity
Organization
Contact information
Practice address
120 PERRY RD, BURGETTSTOWN, PA 15021-2416
(724) 356-2260
Mailing address
120 PERRY RD, BURGETTSTOWN, PA 15021-2416
(724) 356-2260
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
77850501
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1834
INSURANCE
PA
Enumeration date
05/01/2006
Last updated
09/26/2007
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