Provider Demographics
NPI:1508187055
Name:ANTHRACITE PERSONAL CARE AGENCY, INC.
Entity Type:Organization
Organization Name:ANTHRACITE PERSONAL CARE AGENCY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:HANEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:570-544-3780
Mailing Address - Street 1:545 N 3RD ST
Mailing Address - Street 2:
Mailing Address - City:MINERSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:17954-1309
Mailing Address - Country:US
Mailing Address - Phone:570-544-3780
Mailing Address - Fax:570-544-3782
Practice Address - Street 1:545 N 3RD ST
Practice Address - Street 2:
Practice Address - City:MINERSVILLE
Practice Address - State:PA
Practice Address - Zip Code:17954-1309
Practice Address - Country:US
Practice Address - Phone:570-544-3780
Practice Address - Fax:570-544-3782
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-18
Last Update Date:2010-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA14993601251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health