| 123 Pediatric Home Healthcare Corporation | |
|
6309 Hallwood Dr Verona PA 15147-2526 | |
| (412) 377-9102 | |
| Not Available |
| Full Name | 123 Pediatric Home Healthcare Corporation |
|---|---|
| Speciality | Home Health |
| Location | 6309 Hallwood Dr, Verona, Pennsylvania |
| Authorized Official Name and Position | Lisa Juanita Washington (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 4123779102 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 123 Pediatric Home Healthcare Corporation 6309 Hallwood Dr Verona PA 15147-2526 Ph: (412) 377-9102 | 123 Pediatric Home Healthcare Corporation 6309 Hallwood Dr Verona PA 15147-2526 Ph: (412) 377-9102 |
| NPI Number | 1245696434 |
|---|---|
| Provider Enumeration Date | 01/05/2016 |
| Last Update Date | 04/18/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245696434 | NPI | - | NPPES |
| 1030784200001 | Other | PA | STATE OF PA DHS OFFICE OF INTELLECTUAL DISABILITIES PROVIDER NUMBER |
| 06400501 | Other | PA | STATE OF PENNSYLVANIA |
| 30153601 | Other | PA | STATE OF PENNSYLVANIA |
| 1030784200002 | Other | PA | STATE OF PA DHS OFFICE OF LONG TERM LIVING PROVIDER NUMBER |
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