Provider Demographics
NPI:1891799540
Name:LEHIGH VALLEY VISITING NURSES INC.
Entity Type:Organization
Organization Name:LEHIGH VALLEY VISITING NURSES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:JOYCE
Authorized Official - Middle Name:
Authorized Official - Last Name:DUBIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-264-2353
Mailing Address - Street 1:2127 S 1ST AVE
Mailing Address - Street 2:
Mailing Address - City:WHITEHALL
Mailing Address - State:PA
Mailing Address - Zip Code:18052-4824
Mailing Address - Country:US
Mailing Address - Phone:610-264-2353
Mailing Address - Fax:610-264-0834
Practice Address - Street 1:2127 S 1ST AVE
Practice Address - Street 2:
Practice Address - City:WHITEHALL
Practice Address - State:PA
Practice Address - Zip Code:18052-4824
Practice Address - Country:US
Practice Address - Phone:610-264-2353
Practice Address - Fax:610-264-0834
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA761705251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA761705OtherSTATE LICENSE
PA0015312880001Medicaid
PA761705OtherSTATE LICENSE