Healthcare Provider Details

I. General information

NPI: 1053642066
Provider Name (Legal Business Name): ADF INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/15/2010
Last Update Date: 09/25/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

160 CHAD ROAD
MUNCY PA
17756-7871
US

IV. Provider business mailing address

160 CHAD ROAD
MUNCY PA
17756-7871
US

V. Phone/Fax

Practice location:
  • Phone: 570-546-2102
  • Fax: 570-546-8206
Mailing address:
  • Phone: 570-546-2102
  • Fax: 570-546-8206

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number767205
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number767205
License Number StatePA
# 3
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number767205
License Number StatePA
# 4
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number767205
License Number StatePA

VIII. Authorized Official

Name: MRS. ALICE DENISE FISCHETTI
Title or Position: OWNER/PRESIDENT
Credential:
Phone: 570-546-2102