Organization
ALLIED HEALTHCARE SERVICES
Active
Other names
CM1 - Woodlawn
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS PUGH (VICE PRESIDENT)
(570) 826-3836
Entity
Organization
Contact information
Practice address
801 WOODLAWN ST, SCRANTON, PA 18509-1412
(570) 341-4317
Mailing address
100 ABINGTON EXECUTIVE PARK, CLARKS SUMMIT, PA 18411-2258
(570) 348-2911
(570) 341-4646
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000002910038
—
PA
Enumeration date
12/29/2005
Last updated
08/22/2020
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