MEDICARE: AN ANSWERED PRAYER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	253Z00000X	In Home Supportive Care Agency	10673601	PA

General Provider Information

NPI Number	:	1053639252
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AN ANSWERED PRAYER

Provider Business Mailing Address
First Line	:	25 SCOTT DR
Second Line	:	E
City	:	DRAVOSBURG
State	:	PA
Zip	:	15034-1130
Country	:	US
Telephone Number	:	412-466-6590
Fax Number	:

Provider Business Practice Location Address
First Line	:	25 SCOTT DR
Second Line	:	E
City	:	DRAVOSBURG
State	:	PA
Zip	:	15034-1130
Country	:	US
Telephone Number	:	412-466-6590
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. WILLIAM MICHAEL DONGIOVANNI
Credential	:	LPN
Telephone Number	:	412-466-6590

Provider Enumeration Date	:	05/12/2010
Last Update Date	:	05/12/2010

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