Healthcare Provider Details

I. General information

NPI: 1336416593
Provider Name (Legal Business Name): HHH SENIOR SPECIALIST
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/16/2011
Last Update Date: 12/27/2021
Certification Date: 12/27/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6 GARDEN CENTER DR ANNEX NORTH
GREENSBURG PA
15601-1351
US

IV. Provider business mailing address

6 GARDEN CENTER DR ANNEX NORTH
GREENSBURG PA
15601-1351
US

V. Phone/Fax

Practice location:
  • Phone: 724-864-7388
  • Fax: 724-978-0007
Mailing address:
  • Phone: 724-864-7388
  • Fax: 724-978-0007

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StatePA

VIII. Authorized Official

Name: JOHN DICKSON IV
Title or Position: CEO/PRESIDENT
Credential:
Phone: 724-832-8400