# ALLIED SERVICES SKILLED NURSING CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851398341
- **Authorized official:** MR. VINCENT SPLENDIDO (AVP PATIENT FINICAL SERVICES)
- **Authorized official phone:** (570) 341-4699

## Contact information

- **Practice address:** 303 SMALLACOMBE DR, SCRANTON, PA 18508-2634
- **Practice address phone:** (570) 348-1424
- **Mailing address:** 100 ABINGTON EXECUTIVE PARK, CLARKS SUMMIT, PA 18411-2258
- **Mailing address phone:** (570) 348-1364

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 011902 | PA | Yes |
| 332BC3200X | Customized Equipment (DME) | — | PA | — |
| 332BN1400X | Nursing Facility Supplies (DME) | — | PA | — |
| 332BP3500X | Parenteral & Enteral Nutrition Supplies (DME) | — | PA | — |

## Other

- **Enumeration date:** 06/30/2005
- **Last updated:** 07/21/2022

## 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 |
