Organization
LUCKY'S HOME CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHERYL MCMILLER (ADMINISTRATOR)
(724) 378-2882
Entity
Organization
Contact information
Practice address
524 FRANKLIN AVE, ALIQUIPPA, PA 15001-3728
(724) 378-2882
(724) 378-9809
Mailing address
524 FRANKLIN AVE, ALIQUIPPA, PA 15001-3728
(724) 378-2882
(724) 378-9809
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103000043-0001
PROVIDER NUMBER
PA
01
—
25813601
PROVIDER LICENSE NUMBER
PA
Enumeration date
12/12/2017
Last updated
12/27/2017
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