Organization
MCAR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DIANE O'ROURKE (COO)
(724) 981-2950
Entity
Organization
Contact information
Practice address
850 N HERMITAGE RD, HERMITAGE, PA 16148-3220
(724) 981-2950
(724) 981-1877
Mailing address
850 N HERMITAGE RD, HERMITAGE, PA 16148-3220
(724) 981-2950
(724) 981-1877
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
—
—
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100000934
ODP PROVIDER ID
PA
Enumeration date
09/17/2012
Last updated
09/20/2012
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