Healthcare Provider Details
I. General information
NPI: 1215526421
Provider Name (Legal Business Name): EUPHORIC CARE COMPANY
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/12/2021
Last Update Date: 01/08/2025
Certification Date: 01/08/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
401 CORTLAND DR E
MC KEES ROCKS PA
15136-1627
US
IV. Provider business mailing address
401 CORTLAND DR E
MC KEES ROCKS PA
15136-1627
US
V. Phone/Fax
- Phone: 412-458-5086
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3747P1801X |
| Taxonomy | Personal Care Attendant |
| License Number | |
| License Number State | |
VII. Legacy identifiers
For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:
VIII. Authorized Official
Name:
DAVID
L
DREWERY
Title or Position: OWNER
Credential:
Phone: 412-498-1160