Healthcare Provider Details

I. General information

NPI: 1528077914
Provider Name (Legal Business Name): BEHOME PARTNERS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/05/2006
Last Update Date: 04/09/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 W CULVERT ST
ZELIENOPLE PA
16063-1580
US

IV. Provider business mailing address

400 W CULVERT ST
ZELIENOPLE PA
16063-1580
US

V. Phone/Fax

Practice location:
  • Phone: 724-631-0200
  • Fax: 724-631-0199
Mailing address:
  • Phone: 724-631-0200
  • Fax: 724-631-0199

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number80380501
License Number StatePA

VIII. Authorized Official

Name: MS. LYN WALKER
Title or Position: DIRECTOR
Credential: LPT
Phone: 724-631-0200