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Organization

AUTHENTIC HOME CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LYDIA MARIE REED RN (CEO)
(724) 472-7617
Entity
Organization

Contact information

Practice address
1005 IDAHO AVE, NATRONA HEIGHTS, PA 15065-1343
(412) 307-4564
(412) 332-8023
Mailing address
1005 IDAHO AVE, NATRONA HEIGHTS, PA 15065-1343
(412) 307-4564
(412) 332-8023

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
253Z00000X
In Home Supportive Care Agency
Primary
3747A0650X
Attendant Care Provider
3747P1801X
Personal Care Attendant

Other

Enumeration date
03/16/2022
Last updated
03/16/2022
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