| NPI | 1942503560 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN G. SCANLAND CEO And Founder 570-586-0655 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: PA SP010872) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA VP000593C) |
| Enumeration Date | 2010-12-21 |
| Last Update Date | 2010-12-21 |