Provider Demographics
NPI:1376841577
Name:JO LYN'S IN HOME HEALTH CARE
Entity Type:Organization
Organization Name:JO LYN'S IN HOME HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOSI
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:KNOX
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:724-952-1019
Mailing Address - Street 1:13 W CROSS AVE
Mailing Address - Street 2:APT A
Mailing Address - City:MASONTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:15461-2053
Mailing Address - Country:US
Mailing Address - Phone:724-952-1019
Mailing Address - Fax:724-952-1019
Practice Address - Street 1:13 W CROSS AVE
Practice Address - Street 2:APT A
Practice Address - City:MASONTOWN
Practice Address - State:PA
Practice Address - Zip Code:15461-2053
Practice Address - Country:US
Practice Address - Phone:724-952-1019
Practice Address - Fax:724-952-1019
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-11
Last Update Date:2011-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA16533601251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1024474950001OtherMA NUMBER