Organization
WHITE DEER RUN LLC
Active
Parent organization
WHITE DEER RUN LLC
Other names
White Deer Run of Williamsport
Organization subpart
Yes
Provider details
NPI number
Legal business name
WHITE DEER RUN LLC
Authorized official
BRIAN P. FARLEY (VP AND SECRETARY)
(615) 861-6000
Entity
Organization
Contact information
Practice address
520 W 4TH ST, WILLIAMSPORT, PA 17701-6038
(570) 322-4836
(570) 322-4769
Mailing address
4020 ASPEN GROVE DR STE 900, FRANKLIN, TN 37067-3134
(615) 861-6000
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
417040
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007567870061
—
PA
05
—
1007567870091
—
PA
Enumeration date
02/07/2011
Last updated
01/20/2026
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