Provider Demographics
NPI:1033742523
Name:BENDER, JONI LYNN
Entity Type:Individual
Prefix:
First Name:JONI
Middle Name:LYNN
Last Name:BENDER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:109 PINEHURST DR
Mailing Address - Street 2:
Mailing Address - City:FREEDOM
Mailing Address - State:PA
Mailing Address - Zip Code:15042-2523
Mailing Address - Country:US
Mailing Address - Phone:412-860-2080
Mailing Address - Fax:
Practice Address - Street 1:109 PINEHURST DR
Practice Address - Street 2:
Practice Address - City:FREEDOM
Practice Address - State:PA
Practice Address - Zip Code:15042-2523
Practice Address - Country:US
Practice Address - Phone:412-860-2080
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-13
Last Update Date:2020-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health