Organization
WAYNE MEMORIAL COMMUNITY HEALTH CENTERS
Active
Organization
WAYNE MEMORIAL COMMUNITY HEALTH CENTERS
Active
Other names
Honesdale Podiatry
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA ROSE LACEY (CEO)
(570) 253-8451
Entity
Organization
Contact information
Practice address
600 MAPLE AVE STE 4, HONESDALE, PA 18431-1436
(570) 253-8177
Mailing address
601 PARK ST, HONESDALE, PA 18431-1445
(570) 253-8226
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
03/22/2024
Last updated
05/30/2024
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