Provider Demographics
NPI:1770091175
Name:TWIFORD, LEIGH
Entity type:Individual
Prefix:
First Name:LEIGH
Middle Name:
Last Name:TWIFORD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4076 MARKET ST STE 201
Mailing Address - Street 2:
Mailing Address - City:CAMP HILL
Mailing Address - State:PA
Mailing Address - Zip Code:17011-4225
Mailing Address - Country:US
Mailing Address - Phone:717-525-7936
Mailing Address - Fax:717-412-7693
Practice Address - Street 1:4076 MARKET ST STE 201
Practice Address - Street 2:
Practice Address - City:CAMP HILL
Practice Address - State:PA
Practice Address - Zip Code:17011-4225
Practice Address - Country:US
Practice Address - Phone:717-525-7936
Practice Address - Fax:717-412-7693
Is Sole Proprietor?:No
Enumeration Date:2018-01-19
Last Update Date:2018-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
No372500000XNursing Service Related ProvidersChore Provider
No372600000XNursing Service Related ProvidersAdult Companion