| NPI | 1073560553 |
|---|---|
| Doing Business As | LIFE GEISINGER |
| Entity Type | Organization |
| Authorized Contact | DEBBIE PALMER Program Coordinator 570-214-9806 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251T00000X PACE Provider Organization (Licence: PA 251T00000X) |
| Additional Taxonomies | 251T00000X PACE Provider Organization |
| Enumeration Date | 2006-05-28 |
| Last Update Date | 2021-02-25 |