MEDICARE: ALLEGHENY LUTHERAN SOCIAL MINISTRIES INC.

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	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1912281478
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALLEGHENY LUTHERAN SOCIAL MINISTRIES INC.

Provider Business Mailing Address
First Line	:	915 HICKORY ST
Second Line	:
City	:	HOLLIDAYSBURG
State	:	PA
Zip	:	16648-2247
Country	:	US
Telephone Number	:	814-696-4503
Fax Number	:

Provider Business Practice Location Address
First Line	:	915 HICKORY ST
Second Line	:
City	:	HOLLIDAYSBURG
State	:	PA
Zip	:	16648-2247
Country	:	US
Telephone Number	:	814-696-4503
Fax Number	:

Authorized Official
Title or Position	:	CFO
Name	:	MR. CHRIS J REIGHARD
Credential	:
Telephone Number	:	814-696-4503

Provider Enumeration Date	:	10/03/2011
Last Update Date	:	12/28/2011

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