Organization
15 WESNER LANE PECC OPERATING COMPANY, LP
Active
Other names
Pediatric Specialty Care Medical Day at Danville
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY KENWORTHY (DIRECTOR OF ACCOUNTS RECEIVABLE)
(716) 817-5085
Entity
Organization
Contact information
Practice address
15 WESNER LN STE 101, DANVILLE, PA 17821-8023
(570) 284-4387
Mailing address
500 SENECA ST STE 100, BUFFALO, NY 14204-1963
(716) 817-5085
Taxonomy
Speciality
Code
Description
License number
State
261QM3000X
Medically Fragile Infants and Children Day Care
Primary
—
—
Other
Enumeration date
07/10/2020
Last updated
07/10/2020
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