- Enrollment id
- O20231101001546
- Enrollment state
- PA
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1528844677
- Multiple npi flag
- N
- Ccn
- 731513
- Associate id
- 4789030453
- Organization name
- AHC HOME HEALTH OF LEHIGH VALLEY LLC
- Incorporation date
- 2023-04-11
- Incorporation state
- UT
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Address line 1
- 3370 HIGH POINT BLVD
- Address line 2
- STE B
- City
- BETHLEHEM
- State
- PA
- Zip code
- 180177805