Organization
IN HOME SPECAILTY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KELLY LOUSIE GRUBBS (PRESIDENT OF COMPANY)
(412) 610-5392
Entity
Organization
Contact information
Practice address
719 KEENER WAY APT C6, GREENSBURG, PA 15601-4462
(724) 834-2534
Mailing address
719 KEENER WAY APT C6, GREENSBURG, PA 15601-4462
(724) 834-2534
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
3854141
PA
Other
Enumeration date
02/13/2009
Last updated
02/13/2009
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