Organization
TRI-STATE HOME CARE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WALTER ANTHONY PAWLOWSKI JR. (CEO)
(412) 822-7801
Entity
Organization
Contact information
Practice address
149 GRANT AVE, MILLVALE, PA 15209-2607
(412) 822-7801
Mailing address
149 GRANT AVE, MILLVALE, PA 15209-2607
(412) 822-7801
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0013936190003
—
PA
01
—
205776
BLUE CROSS BLUE SHIELD
PA
01
—
2120780
AETNA
PA
01
—
67537
UNISON
PA
Enumeration date
11/22/2006
Last updated
10/26/2022
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