Healthcare Provider Details

I. General information

NPI: 1336772581
Provider Name (Legal Business Name): ASHLAR HOME HEALTH AND HOSPICE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/17/2020
Last Update Date: 07/24/2024
Certification Date: 07/24/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

98 MASONIC DR STE 101
ELIZABETHTOWN PA
17022-2574
US

IV. Provider business mailing address

98 MASONIC DR STE 101
ELIZABETHTOWN PA
17022-2574
US

V. Phone/Fax

Practice location:
  • Phone: 717-361-4999
  • Fax: 717-361-5767
Mailing address:
  • Phone: 717-361-4999
  • Fax: 717-361-5767

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: JUSTIN WOLGEMUTH
Title or Position: SENIOR VP OF OPERATIONS
Credential:
Phone: 717-367-1121