NPI | 1235570417 |
---|---|
Doing Business As | WELLSBORO LAUREL HEALTH CENTER |
Entity Type | Organization |
Authorized Contact | ANGELA M. VANZILE Credentialing Coordinator 570-662-1982 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2013-07-16 |
Last Update Date | 2020-11-16 |