Organization
MON VALLEY CARES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHELLY TERRY (DIRECTOR)
(724) 344-0767
Entity
Organization
Contact information
Practice address
29 MAIN ST, DAISYTOWN, PA 15427-1037
(724) 344-0767
Mailing address
29 MAIN ST, DAISYTOWN, PA 15427-1037
(724) 344-0767
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
102663014
MA MPI#
PA
Enumeration date
05/15/2013
Last updated
05/15/2013
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