Organization
ANTHRACITE REGION CENTER FOR INDEPENDENT LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LINDA BRADLEY (FISCAL DIRECTOR)
(570) 455-9800
Entity
Organization
Contact information
Practice address
8 W BROAD ST STE 228, HAZLETON, PA 18201-6401
(570) 455-9800
(570) 455-1731
Mailing address
8 W BROAD ST STE 228, HAZLETON, PA 18201-6401
(570) 455-9800
(570) 455-1731
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
04/26/2024
Last updated
04/26/2024
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