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Organization

ALLIANCE VISITING NURSES

Active
Other names
VNA Alliance
Organization subpart
No

Provider details

NPI number
Authorized official
MR. TIMOTHY KLINE DUNN (EXCECUTIVE DIRECTOR)
(814) 333-7000
Entity
Organization

Contact information

Practice address
18360 CONNEAUT LAKE RD STE 2, MEADVILLE, PA 16335-3735
(814) 333-7000
(814) 333-7001
Mailing address
18360 CONNEAUT LAKE RD STE 2, MEADVILLE, PA 16335-3735
(814) 333-7000
(814) 333-7001

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
765505
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0015567230008
PA
01
0700144 00
DEPT OF LABOR - BLACK LUN
PA
01
1064
HIGHMARK
PA
01
1511871
GATWAY INSURANCE
PA
01
39D0910166
CLIA WAIVER CERTIFICATE
PA
01
675
MPI PROVIDER ID
PA
01
765505
PA STATE H/H LICENSE
PA
Enumeration date
05/02/2006
Last updated
11/05/2025
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