Organization
HIMALI HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KISHOR PRADHAN (CHIEF EXECUTIVE OFFICER)
(724) 602-6283
Entity
Organization
Contact information
Practice address
243 RUTHERGLEN DR, OAKDALE, PA 15071-9734
(724) 307-3531
Mailing address
243 RUTHERGLEN DR, OAKDALE, PA 15071-9734
(724) 307-3531
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6708019
COMMONWEALTH OF PENNSYLVANIA
PA
Enumeration date
07/29/2018
Last updated
07/29/2018
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