Healthcare Provider Details

I. General information

NPI: 1821352998
Provider Name (Legal Business Name): HHH SENIOR SPECIALIST
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/03/2012
Last Update Date: 12/22/2021
Certification Date: 12/22/2021
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 Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State

VIII. Authorized Official

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