Organization
VISITING NURSE ASSOCIATION AND HOME HEALTH MAINTENANCE ORGANIZATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARLENE GRATTOLINO (EXECUTIVE DIRECTOR)
(570) 383-5180
Entity
Organization
Contact information
Practice address
301 DELAWARE AVE, OLYPHANT, PA 18447-1531
(570) 383-5180
(570) 383-5189
Mailing address
301 DELAWARE AVE, OLYPHANT, PA 18447-1531
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
154399
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007786300002
—
PA
05
—
1007786300006
—
PA
01
—
73
HOME HEALTH
PA
01
—
808351
HOMEHEALTH
PA
01
—
9J
HOSPICE
PA
Enumeration date
10/17/2006
Last updated
11/20/2009
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