Organization
SENECA AMRAMP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DESIREE SMATHERS (PRESIDENT)
(814) 677-7001
Entity
Organization
Contact information
Practice address
177 COUNTRY LN, SENECA, PA 16346-3301
(814) 677-7001
(814) 678-3373
Mailing address
PO BOX 254, SENECA, PA 16346-0254
(814) 677-7001
(814) 678-3373
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
1018459700001
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1018459700001
WAIVER PUBLIC WELFARE
PA
Enumeration date
04/12/2007
Last updated
08/22/2020
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