Provider Demographics
NPI:1184462731
Name:HOMEFIRST HOMECARE AGENCY OF LEHIGH VALLEY INC
Entity type:Organization
Organization Name:HOMEFIRST HOMECARE AGENCY OF LEHIGH VALLEY INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DAISY
Authorized Official - Middle Name:
Authorized Official - Last Name:MIDENCE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:814-447-1234
Mailing Address - Street 1:306 S NEW ST
Mailing Address - Street 2:
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18015-1652
Mailing Address - Country:US
Mailing Address - Phone:814-447-1234
Mailing Address - Fax:
Practice Address - Street 1:306 S NEW ST
Practice Address - Street 2:
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18015-1652
Practice Address - Country:US
Practice Address - Phone:814-447-1234
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-17
Last Update Date:2024-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health