Organization
REGIONAL COOPERATIVE, LLC
Active
Parent organization
BLAIR SENIOR SERVICES, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
BLAIR SENIOR SERVICES, INC.
Authorized official
MIKE SMITH (ADMINISTRATIVE SERVICES MANAGER)
(814) 946-1235
Entity
Organization
Contact information
Practice address
1320 12TH AVE, ALTOONA, PA 16601-3308
(814) 946-1235
Mailing address
1320 12TH AVE, ALTOONA, PA 16601-3308
(814) 946-1235
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
—
—
Other
Enumeration date
06/08/2016
Last updated
06/08/2016
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