Organization
MOTHER TERESA HOSPICE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH J LIBERATI ESQUIRE (ADMINISTRATOR)
(724) 775-2040
Entity
Organization
Contact information
Practice address
3950 BRODHEAD RD, STE 310, MONACA, PA 15061-3030
(724) 775-2040
(724) 774-2116
Mailing address
3950 BRODHEAD RD, STE 310, MONACA, PA 15061-3030
(724) 775-2040
(724) 774-2116
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
16411601
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16411601
STATE LICENSE NUMBER
PA
Enumeration date
06/27/2005
Last updated
02/16/2016
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