Wakefield Cottage Llc

NPI 1023243987 - Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities - 320900000X

NPI Details
NPI 1023243987
Enumeration Date 05/21/2009
Last Updated 05/21/2009
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name JANICE M JANICE
Position CEO
Phone (570) 722-8883
Fax
Practice Location
4 NASH TRAIL
ALBRIGHTSVILLE PA, 18210-0314, US
Phone (570) 722-8883
Fax
Business Location
4 NASH TRAIL
PO BOX 314
ALBRIGHTSVILLE PA, 18210, US
Phone (570) 722-8883
Fax
Toxanomy
Taxonomy Code 320900000X
License State Pennsylvania
License Number 207590
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According to our database, Wakefield Cottage Llc NPI is 1023243987, taxonomy code is 320900000X and license number is 207590, license state is located at Pennsylvania. Wakefield Cottage Llc physically located at 4 Nash Trail, Albrightsville PA, 18210-0314. NPI Number 1033115704 has the healthcare provider type.

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1023243987 NPI number is provided on an as is basis without warranty of any kind. 1023243987 is maintained by the National Plan & Provider Enumeration System. The contents of Wakefield Cottage Llc are for informational purposes only.