Organization
YORK HEALTH BOUTIQUE FOR WOMEN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. URITH ANN LAVETAN (PRES. (OWNER))
(717) 741-0127
Entity
Organization
Contact information
Practice address
180 LEADERS HEIGHTS RD, YORK, PA 17402-4742
(717) 741-0127
(717) 741-0168
Mailing address
180 LEADERS HEIGHTS RD, YORK, PA 17402-4742
(717) 741-0127
(717) 741-0168
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
6000005630
PA
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018221500002
—
PA
01
—
123905
UNISON/THREE RIVERS/MEDPL
PA
01
—
20022585
AMERI HEALTH MERCY
PA
01
—
211107
HIGHMARK BLUE SHIELD
PA
01
—
39HA96
CAPITAL BLUE CROSS
PA
Enumeration date
03/14/2006
Last updated
07/28/2010
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