Basic Information
| Provider Information | |||||||||
| NPI: | 1033560461 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | CURAHEALTH HERITAGE VALLEY, LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1828 GOOD HOPE RD STE 102 | ||||||||
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| City: | ENOLA | ||||||||
| State: | PA | ||||||||
| PostalCode: | 170251203 | ||||||||
| CountryCode: | US | ||||||||
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| Practice Location | |||||||||
| Address1: | 1000 DUTCH RIDGE RD | ||||||||
| Address2: | FLOOR 2 | ||||||||
| City: | BEAVER | ||||||||
| State: | PA | ||||||||
| PostalCode: | 150099727 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7247738480 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 06/27/2016 | ||||||||
| LastUpdateDate: | 11/29/2021 | ||||||||
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| AuthorizedOfficialLastName: | MISITANO | ||||||||
| AuthorizedOfficialFirstName: | ANTHONY | ||||||||
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| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 7177319660 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| NPICertificationDate: | 11/29/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 282E00000X | PA | Y | Hospitals | Long Term Care Hospital |
No ID Information.