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Organization
SOS RECOVERY SERVICES, INC.
Active
Organization
SOS RECOVERY SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY A SCOTT CRNP (PRESIDENT, OWNER)
(724) 888-2186
Entity
Organization
Contact information
Practice address
234 ADAMS ST, ROCHESTER, PA 15074-2102
(724) 888-2186
(724) 888-2443
Mailing address
234 ADAMS STREET, ROCHESTER, PA 15074
(724) 888-2186
(724) 888-2443
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
UP005628V
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1608286
—
PA
01
—
2891898
HIGHMARK KEYSTONE HEALTHPLAN WEST
PA
Enumeration date
04/12/2017
Last updated
04/08/2022
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