Provider Demographics
NPI:1922786813
Name:NEW LEAF HEALTHCARE INC
Entity Type:Organization
Organization Name:NEW LEAF HEALTHCARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:F
Authorized Official - Last Name:AGNEW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:267-421-4123
Mailing Address - Street 1:2605 EGYPT RD STE 205
Mailing Address - Street 2:
Mailing Address - City:TROOPER
Mailing Address - State:PA
Mailing Address - Zip Code:19403-2317
Mailing Address - Country:US
Mailing Address - Phone:267-421-4123
Mailing Address - Fax:484-612-4940
Practice Address - Street 1:2605 EGYPT RD STE 205
Practice Address - Street 2:
Practice Address - City:TROOPER
Practice Address - State:PA
Practice Address - Zip Code:19403-2317
Practice Address - Country:US
Practice Address - Phone:267-421-4123
Practice Address - Fax:484-612-4940
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-10
Last Update Date:2023-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies