Provider Demographics
NPI:1043661341
Name:HUNTER, XZAVIER
Entity type:Individual
Prefix:
First Name:XZAVIER
Middle Name:
Last Name:HUNTER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7007 YORK RD
Mailing Address - Street 2:
Mailing Address - City:ABBOTTSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:17301-9774
Mailing Address - Country:US
Mailing Address - Phone:717-619-7634
Mailing Address - Fax:717-619-7636
Practice Address - Street 1:7007 YORK RD
Practice Address - Street 2:
Practice Address - City:ABBOTTSTOWN
Practice Address - State:PA
Practice Address - Zip Code:17301-9774
Practice Address - Country:US
Practice Address - Phone:717-619-7634
Practice Address - Fax:717-619-7636
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-28
Last Update Date:2016-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA330750311ZA0620X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home