MEDICARE: DALY CARE ASSOC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	253Z00000X	In Home Supportive Care Agency	16173601	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1003323205
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DALY CARE ASSOC.

Provider Business Mailing Address
First Line	:	88 CENTER CHURCH RD
Second Line	:
City	:	MCMURRAY
State	:	PA
Zip	:	15317-3002
Country	:	US
Telephone Number	:	412-364-2262
Fax Number	:

Provider Business Practice Location Address
First Line	:	88 CENTER CHURCH RD
Second Line	:
City	:	MCMURRAY
State	:	PA
Zip	:	15317-3002
Country	:	US
Telephone Number	:	412-364-2262
Fax Number	:

Authorized Official
Title or Position	:	OWNER/PRESIDENT
Name	:	MR. DAVID ELLENWOOD
Credential	:
Telephone Number	:	412-364-2262

Provider Enumeration Date	:	01/09/2018
Last Update Date	:	05/24/2018

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Directions to “DALY CARE ASSOC. ” Practice Location

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