Organization
STEP BY STEP INC.
Active
Parent organization
STEP BY STEP INC.
Other names
STEP BY STEP THIRD ST ICF/MR
Organization subpart
Yes
Provider details
NPI number
Legal business name
STEP BY STEP INC.
Authorized official
MR. JAMES L. BOBECK (CHIEF EXECUTIVE OFFICER)
(570) 829-3477
Entity
Organization
Contact information
Practice address
111 3RD ST, CARNEGIE, PA 15106-2579
(412) 635-8677
(412) 655-3294
Mailing address
744 KIDDER ST, CROSS VALLEY COMMONS BUILDING, WILKES BARRE, PA 18702-7015
(570) 829-3477
(570) 829-7918
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
845660
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1000013970231
DPW MASTER PROVIDER INDEX
PW
Enumeration date
07/30/2007
Last updated
03/02/2016
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