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Organization

STEP BY STEP INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JAMES L BOBECK (CHIEF EXECUTIVE OFFICER)
(570) 829-3477
Entity
Organization

Contact information

Practice address
744 KIDDER ST, CROSS VALLEY COMMONS BUILDING, WILKES BARRE, PA 18702-7015
(570) 829-3477
(570) 829-7918
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
251B00000X
Case Management Agency
251C00000X
Developmentally Disabled Services Day Training Agency
251S00000X
Community/Behavioral Health Agency
251V00000X
Voluntary or Charitable Agency
Primary
251X00000X
Supports Brokerage Agency
315P00000X
Intellectual Disabilities Intermediate Care Facility
320800000X
Mental Illness Community Based Residential Treatment Facility
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
347C00000X
Private Vehicle
385H00000X
Respite Care

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100001397
PA
Enumeration date
03/08/2007
Last updated
12/14/2007
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