Organization
GREATER LEHIGH VALLEY VISITING NURSE ASSOCIATION, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LUCILLE D GOUGH RN, MSN, MBA (PRESIDENT/CEO)
(610) 378-0481
Entity
Organization
Contact information
Practice address
501 N 17TH ST, SUITE 200, ALLENTOWN, PA 18104-5044
(610) 395-2500
(610) 432-1675
Mailing address
1170 BERKSHIRE BLVD, WYOMISSING, PA 19610-1215
(610) 378-0481
(610) 378-9762
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
758405
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000820000
IBC
—
01
—
0000821000
IBC PRIVATE DUTY NURSING
—
01
—
0000822000
IBC MOTHER OPTIONS
—
01
—
0000824000
IBC BABY BLUE PRINT
—
05
—
0017455980001
—
PA
01
—
1009922
KEYSTONE MERCY
—
01
—
1138
GENTIVA CARE CENTRIX
—
01
—
1686
HIGHMARK
—
01
—
397584
CBC
—
01
—
521032
AETNA
—
Enumeration date
12/21/2005
Last updated
11/25/2008
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