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Organization
LUNG & WELLNESS CENTERS OF WESTERN PENNSYLVANIA INC
Active
Organization
LUNG & WELLNESS CENTERS OF WESTERN PENNSYLVANIA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLI THOMPSON (PRESIDENT)
(724) 256-9606
Entity
Organization
Contact information
Practice address
1701 3RD ST, BEAVER, PA 15009-2432
(878) 207-2192
(878) 207-2193
Mailing address
200 RENAISSANCE DR STE 103, BUTLER, PA 16001-7612
(724) 256-9606
(724) 256-9609
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1028747070003
—
PA
Enumeration date
03/29/2017
Last updated
05/24/2019
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