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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