Organization
NORTHEAST MEDICAL & OXYGEN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LINDA ANN CHURLA (OWNER)
(570) 586-7594
Entity
Organization
Contact information
Practice address
2 GLENVIEW LANE, NORTHEAST MEDICAL & OXYGEN, WAVERLY, PA 18471
(570) 586-7594
(570) 586-7594
Mailing address
2 GLENVIEW LANE, NORTHEAST MEDICAL & OXYGEN, WAVERLY, PA 18471
(570) 586-7594
(570) 586-7594
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0014946490001
—
PA
01
—
6000004330
HEALTH LICENSE #
PA
Enumeration date
03/01/2006
Last updated
08/22/2020
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