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Organization
ST. JOSEPH'S CENTER
Active
Organization
ST. JOSEPH'S CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUZANNE TOLERICO (BILLING MANAGER)
(570) 963-1275
Entity
Organization
Contact information
Practice address
2013 BOULEVARD AVE, SCRANTON, PA 18509-1205
(570) 963-1276
(570) 558-2455
Mailing address
2010 ADAMS AVE, SCRANTON, PA 18509-1508
(570) 963-1275
(570) 963-1286
Taxonomy
Speciality
Code
Description
License number
State
3140N1450X
Pediatric Skilled Nursing Facility
Primary
23864001
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000013880080
—
PA
Enumeration date
01/29/2016
Last updated
01/29/2016
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