Organization
NUCHOICE HEALTH PARTNERS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY SUE VANSICKLES (ADMINISTRATOR)
(724) 981-5505
Entity
Organization
Contact information
Practice address
2919 E STATE ST, HERMITAGE, PA 16148-2748
(724) 981-5505
(724) 981-9218
Mailing address
2919 E STATE ST, HERMITAGE, PA 16148-2748
(724) 981-5505
(724) 981-9218
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1017380770003
—
PA
Enumeration date
02/19/2007
Last updated
09/11/2020
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