Provider Demographics
NPI:1225403439
Name:FROM THE HEART LAUREL HIGHLANDS COMPANION SERVICES
Entity Type:Organization
Organization Name:FROM THE HEART LAUREL HIGHLANDS COMPANION SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JANIS
Authorized Official - Middle Name:
Authorized Official - Last Name:DURICK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-955-8986
Mailing Address - Street 1:408 WOOD DUCK DR
Mailing Address - Street 2:
Mailing Address - City:GREENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15601-3125
Mailing Address - Country:US
Mailing Address - Phone:610-955-8986
Mailing Address - Fax:724-590-5148
Practice Address - Street 1:408 WOOD DUCK DR
Practice Address - Street 2:
Practice Address - City:GREENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15601-3125
Practice Address - Country:US
Practice Address - Phone:610-955-8986
Practice Address - Fax:724-590-5148
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-14
Last Update Date:2015-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health