Healthcare Provider Details
I. General information
NPI: 1861499840
Provider Name (Legal Business Name): GALLAGHER HOME HEALTH SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/05/2005
Last Update Date: 03/31/2015
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1370 WASHINGTON PIKE SUITE 401
BRIDGEVILLE PA
15017-2862
US
IV. Provider business mailing address
1370 WASHINGTON PIKE SUITE 401
BRIDGEVILLE PA
15017-2862
US
V. Phone/Fax
- Phone: 412-279-7800
- Fax: 412-279-1774
- Phone: 412-279-7800
- Fax: 412-279-1774
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | 02500501 |
| License Number State | PA |
VIII. Authorized Official
Name: MRS.
DIANE
L.
KARCZ
Title or Position: PRESIDENT/OWNER
Credential: RN
Phone: 412-279-7800