Healthcare Provider Details

I. General information

NPI: 1831576354
Provider Name (Legal Business Name): LAZOR & BENLOCK HOME HEALTH INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

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

III. Provider practice location address

110 FORT COUCH RD
PITTSBURGH PA
15241-1030
US

IV. Provider business mailing address

110 FORT COUCH RD
PITTSBURGH PA
15241-1030
US

V. Phone/Fax

Practice location:
  • Phone: 412-835-2626
  • Fax: 412-835-2526
Mailing address:
  • Phone: 412-835-2626
  • Fax: 412-835-2526

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: JENNIFER BONIDIE
Title or Position: OFFICE MANAGER
Credential:
Phone: 412-835-2626