| NPI | 1700123684 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESA E PRATT Fiscal Director 570-286-4982 |
| Organization Subpart ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse |
| Additional Taxonomies | 251K00000X Public Health or Welfare (Licence: PA applied for) |
| Enumeration Date | 2013-01-11 |
| Last Update Date | 2017-04-13 |