| NPI | 1861638702 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANU GANDOTRA CEO 570-851-0738 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: PA PT019087) |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2008-12-24 |
| Last Update Date | 2009-02-23 |