Organization
TRI-COUNTY NURSING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEIGH CATHERINE MILTIMORE (REGIONAL ADMINISTRATOR)
(502) 257-9869
Entity
Organization
Contact information
Practice address
1250 N MOUNTAIN RD STE 312, HARRISBURG, PA 17112-1795
(223) 237-1051
(223) 237-1052
Mailing address
1250 N MOUNTAIN RD STE 312, HARRISBURG, PA 17112-1795
(223) 237-1051
(232) 371-1052
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
03590501
PA
251J00000X
Nursing Care Agency
03590501
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1023846350001
—
PA
01
—
3845616
ENTITY NUMBER
PA
Enumeration date
05/19/2009
Last updated
11/29/2024
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