Provider Demographics
NPI:1114666153
Name:ALIGHT HEALTH AND WELLNESS LLC
Entity Type:Organization
Organization Name:ALIGHT HEALTH AND WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:J
Authorized Official - Last Name:BAIRD
Authorized Official - Suffix:
Authorized Official - Credentials:CRNP
Authorized Official - Phone:878-220-7051
Mailing Address - Street 1:4480 WILLIAM PENN HWY
Mailing Address - Street 2:
Mailing Address - City:MURRYSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15668-1900
Mailing Address - Country:US
Mailing Address - Phone:878-220-7051
Mailing Address - Fax:878-220-7152
Practice Address - Street 1:4480 WILLIAM PENN HWY
Practice Address - Street 2:
Practice Address - City:MURRYSVILLE
Practice Address - State:PA
Practice Address - Zip Code:15668-1900
Practice Address - Country:US
Practice Address - Phone:878-220-7051
Practice Address - Fax:878-220-7152
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-28
Last Update Date:2023-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA102438941-0072Medicaid