Healthcare Provider Details

I. General information

NPI: 1881104404
Provider Name (Legal Business Name): CHERISH YOUR LOVED ONES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/10/2017
Last Update Date: 04/15/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

148 4TH AVE
ALIQUIPPA PA
15001-3334
US

IV. Provider business mailing address

148 4TH AVE
ALIQUIPPA PA
15001-3334
US

V. Phone/Fax

Practice location:
  • Phone: 724-378-9235
  • Fax: 724-378-9235
Mailing address:
  • Phone: 724-378-9235
  • Fax: 724-378-9235

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number33673601
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: DYAN MORELAND
Title or Position: ADMINISTRATOR
Credential:
Phone: 724-302-9290