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Organization

ALLEGHENY HOME HEALTH, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. STACY BRADLEY (ADMINISTRATOR)
(814) 471-2877
Entity
Organization

Contact information

Practice address
1100 W HIGH ST, SUITE 105, EBENSBURG, PA 15931-1706
(814) 471-2877
(814) 471-2876
Mailing address
1100 W HIGH ST, SUITE 105, EBENSBURG, PA 15931-1706
(814) 471-2877
(814) 471-2876

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
742705
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01026576
PA
01
1009041910001
PDAWAIVER PROVIDER NUMBER
PA
01
850
HIGHMARK BLUE CROSS PROVI
PA
Enumeration date
05/23/2005
Last updated
01/20/2009
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