Provider Demographics
NPI:1497821615
Name:ALLISON'S CARING KOALAS, INC.
Entity Type:Organization
Organization Name:ALLISON'S CARING KOALAS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CARE ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:ALLISON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:814-262-9273
Mailing Address - Street 1:111 CLARUTH DR
Mailing Address - Street 2:
Mailing Address - City:WINDBER
Mailing Address - State:PA
Mailing Address - Zip Code:15963-8928
Mailing Address - Country:US
Mailing Address - Phone:814-262-9273
Mailing Address - Fax:
Practice Address - Street 1:111 CLARUTH DR
Practice Address - Street 2:
Practice Address - City:WINDBER
Practice Address - State:PA
Practice Address - Zip Code:15963-8928
Practice Address - Country:US
Practice Address - Phone:814-262-9273
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA00019385580001Medicaid