Organization
HOME NURSING AGENCY AND VISITING NURSE ASSOC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT GRIFFITH (CFO)
(724) 778-4606
Entity
Organization
Contact information
Practice address
201 CHESTNUT AVE, AIDS WAIVER PROGRAM, ALTOONA, PA 16601-4927
(814) 946-5411
(814) 942-1673
Mailing address
201 CHESTNUT AVE, AIDS WAIVER PROGRAM, ALTOONA, PA 16601-4927
(814) 946-5411
(814) 942-1673
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007767800002
—
PA
Enumeration date
06/25/2007
Last updated
01/03/2024
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