Organization
ANTHRACITE REGION CENTER FOR INDEPENDENT LIVING
Active
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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