Provider Demographics
NPI:1679190516
Name:MICHELES ESTABLISHMENT, INC
Entity Type:Organization
Organization Name:MICHELES ESTABLISHMENT, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MICHELE'S
Authorized Official - Middle Name:
Authorized Official - Last Name:KATZENMOYER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-698-5559
Mailing Address - Street 1:1253 CENTRE TPKE STE 3
Mailing Address - Street 2:
Mailing Address - City:ORWIGSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17961-9189
Mailing Address - Country:US
Mailing Address - Phone:570-968-2165
Mailing Address - Fax:570-968-2170
Practice Address - Street 1:1253 # 3 CENTRE TURNPIKE
Practice Address - Street 2:
Practice Address - City:ORWIGSBURG
Practice Address - State:PA
Practice Address - Zip Code:17961-1796
Practice Address - Country:US
Practice Address - Phone:570-968-2165
Practice Address - Fax:570-968-2170
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-26
Last Update Date:2020-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health