Provider Demographics
NPI:1659776193
Name:VIECARE ARMSTRONG, LLC
Entity Type:Organization
Organization Name:VIECARE ARMSTRONG, LLC
Other - Org Name:LIFE ARMSTRONG COUNTY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR FINANCIAL MANAGEMENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:A
Authorized Official - Last Name:HAMM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:724-742-2226
Mailing Address - Street 1:191 SCHARBERRY LN
Mailing Address - Street 2:
Mailing Address - City:MARS
Mailing Address - State:PA
Mailing Address - Zip Code:16046-2429
Mailing Address - Country:US
Mailing Address - Phone:724-776-1100
Mailing Address - Fax:724-772-2960
Practice Address - Street 1:115 NOLTE DRIVE EXT
Practice Address - Street 2:
Practice Address - City:KITTANNING
Practice Address - State:PA
Practice Address - Zip Code:16201
Practice Address - Country:US
Practice Address - Phone:724-776-1100
Practice Address - Fax:724-772-2960
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:VIECARE, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-10-27
Last Update Date:2014-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251T00000XAgenciesProgram of All-Inclusive Care for the Elderly (PACE) Provider Organization