Provider Demographics
NPI:1366163198
Name:STRONGHOLD GROUP
Entity type:Organization
Organization Name:STRONGHOLD GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:HENDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-350-8855
Mailing Address - Street 1:5246 SIMPSON FERRY ROAD
Mailing Address - Street 2:PO BOX 228
Mailing Address - City:MECHANICSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17050
Mailing Address - Country:US
Mailing Address - Phone:215-350-8855
Mailing Address - Fax:
Practice Address - Street 1:98 FOXFIRE LANE, LEWISBERRY
Practice Address - Street 2:LEWISBERRY
Practice Address - City:LEWISBERRY
Practice Address - State:PA
Practice Address - Zip Code:17339-1733
Practice Address - Country:US
Practice Address - Phone:215-350-8855
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-09
Last Update Date:2022-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No251E00000XAgenciesHome Health