Provider Demographics
NPI:1801490719
Name:HUTSON WAY OF CARE
Entity type:Organization
Organization Name:HUTSON WAY OF CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADDMISSIONS COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:JACAQULINE
Authorized Official - Middle Name:
Authorized Official - Last Name:HENDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:LICENSE NURSE PRACTI
Authorized Official - Phone:412-526-6404
Mailing Address - Street 1:3035 MERWYN AVE
Mailing Address - Street 2:
Mailing Address - City:PITSSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15204-1832
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3035 MERWYN AVE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15204
Practice Address - Country:US
Practice Address - Phone:412-892-0314
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-23
Last Update Date:2020-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes164W00000XNursing Service ProvidersLicensed Practical NurseGroup - Single Specialty