Individual
MIA L HANEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
718 S STATE ST, CLARKS SUMMIT, PA 18411-1749
(570) 885-2699
(570) 885-2699
Mailing address
718 S STATE ST, CLARKS SUMMIT, PA 18411-1749
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
—
374U00000X
Home Health Aide
—
—
376J00000X
Homemaker
Primary
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
06/18/2017
Last updated
06/18/2017
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