Healthcare Provider Details

I. General information

NPI: 1265811228
Provider Name (Legal Business Name): JOYCE SABOTKA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/23/2015
Last Update Date: 05/23/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

28 WALNUT ST
NATRONA HEIGHTS PA
15065-2617
US

IV. Provider business mailing address

28 WALNUT ST
NATRONA HEIGHTS PA
15065-2617
US

V. Phone/Fax

Practice location:
  • Phone: 724-889-6017
  • Fax:
Mailing address:
  • Phone: 724-889-6017
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
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: JOYCE M SABOTKA
Title or Position: HOME HEALTH AIDE
Credential:
Phone: 724-889-6017