Organization
CAREPINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIUD OMOLLO (CEO)
(610) 509-7434
Entity
Organization
Contact information
Practice address
1125 S CEDAR CREST BLVD STE 204, ALLENTOWN, PA 18103-7903
(484) 550-7636
Mailing address
1125 S CEDAR CREST BLVD STE 204, ALLENTOWN, PA 18103-7903
(484) 550-7636
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
—
1041S0200X
School Social Worker
—
—
133V00000X
Registered Dietitian
—
—
163W00000X
Registered Nurse
—
—
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
03/26/2020
Last updated
03/26/2020
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