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Organization
ALLIED SERVICES SKILLED NURSING CENTER
Active
Organization
ALLIED SERVICES SKILLED NURSING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VINCENT SPLENDIDO (AVP PATIENT FINICAL SERVICES)
(570) 341-4699
Entity
Organization
Contact information
Practice address
303 SMALLACOMBE DR, SCRANTON, PA 18508-2634
(570) 348-1424
Mailing address
100 ABINGTON EXECUTIVE PARK, CLARKS SUMMIT, PA 18411-2258
(570) 348-1364
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
011902
PA
332BC3200X
Customized Equipment (DME)
—
PA
332BN1400X
Nursing Facility Supplies (DME)
—
PA
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000079091
3 RIVERS
PA
05
—
0011577000002
—
PA
01
—
30968
GEISINGER
PA
01
—
812502
AETNA
PA
01
—
A08008623
CEDI/SUBMITTER ID
PA
Enumeration date
06/30/2005
Last updated
07/21/2022
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