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Organization
HEALTH POCONOS, INC.
Active
Organization
HEALTH POCONOS, INC.
Active
Other names
Riverside Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DONNA J MAASSEN (COMPLIANCE DIRECTOR)
(414) 908-8119
Entity
Organization
Contact information
Practice address
100 COMMUNITY DR, SUITE 105, TOBYHANNA, PA 18466-8985
(570) 839-9975
(570) 839-9274
Mailing address
111 W MICHIGAN ST, MILWAUKEE, WI 53203-2903
(414) 908-8119
(414) 908-7105
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1467795
—
PA
Enumeration date
03/13/2007
Last updated
06/29/2012
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