Provider Demographics
NPI:1154486215
Name:ALTIERA HEALTHCARE AGENCY INC.
Entity Type:Organization
Organization Name:ALTIERA HEALTHCARE AGENCY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LPN-CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:BEATRICE
Authorized Official - Middle Name:
Authorized Official - Last Name:KOFA-LLOYD
Authorized Official - Suffix:
Authorized Official - Credentials:NURSE
Authorized Official - Phone:215-785-4950
Mailing Address - Street 1:1977 COLONIAL DR
Mailing Address - Street 2:
Mailing Address - City:CROYDON
Mailing Address - State:PA
Mailing Address - Zip Code:19021-5611
Mailing Address - Country:US
Mailing Address - Phone:215-785-4950
Mailing Address - Fax:215-785-4952
Practice Address - Street 1:1977 COLONIAL DR
Practice Address - Street 2:
Practice Address - City:CROYDON
Practice Address - State:PA
Practice Address - Zip Code:19021-5611
Practice Address - Country:US
Practice Address - Phone:215-785-4950
Practice Address - Fax:215-785-4952
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health