Organization
CREATING UNLIMITED POSSIBILITIES
Active
Organization
CREATING UNLIMITED POSSIBILITIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LINDA REEDY (EXECUTIVE DIRECTOR)
(570) 829-2613
Entity
Organization
Contact information
Practice address
159 SIMPSON ST, WILKES BARRE, PA 18702-1445
(570) 829-2613
(570) 829-5166
Mailing address
159 SIMPSON ST, WILKES BARRE, PA 18702-1445
(570) 829-2613
(570) 829-5166
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
212370
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100003462 0003
—
PA
Enumeration date
04/03/2007
Last updated
08/22/2020
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