Healthcare Provider Details

I. General information

NPI: 1891799540
Provider Name (Legal Business Name): LEHIGH VALLEY VISITING NURSES INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/10/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2127 S 1ST AVE
WHITEHALL PA
18052-4824
US

IV. Provider business mailing address

2127 S 1ST AVE
WHITEHALL PA
18052-4824
US

V. Phone/Fax

Practice location:
  • Phone: 610-264-2353
  • Fax: 610-264-0834
Mailing address:
  • Phone: 610-264-2353
  • Fax: 610-264-0834

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number761705
License Number StatePA

VIII. Authorized Official

Name: MRS. JOYCE DUBIN
Title or Position: PRESIDENT
Credential:
Phone: 610-264-2353