Provider Demographics
NPI:1942886544
Name:ALLFATHER, DONNA (OWNER)
Entity Type:Individual
Prefix:MRS
First Name:DONNA
Middle Name:
Last Name:ALLFATHER
Suffix:
Gender:F
Credentials:OWNER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2331 ROUTE 209 STE 6
Mailing Address - Street 2:
Mailing Address - City:SCIOTA
Mailing Address - State:PA
Mailing Address - Zip Code:18354-7770
Mailing Address - Country:US
Mailing Address - Phone:570-362-5039
Mailing Address - Fax:
Practice Address - Street 1:2331 ROUTE 209 STE 6
Practice Address - Street 2:
Practice Address - City:SCIOTA
Practice Address - State:PA
Practice Address - Zip Code:18354-7770
Practice Address - Country:US
Practice Address - Phone:570-362-5039
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-23
Last Update Date:2021-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker