Organization
BURNLEY WORKSHOP OF THE POCONOS
Active
Organization
BURNLEY WORKSHOP OF THE POCONOS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT AMES (VICE PRESIDENT)
(570) 348-5371
Entity
Organization
Contact information
Practice address
4219 MANOR DR, STROUDSBURG, PA 18360-9451
(570) 992-6616
(570) 992-5052
Mailing address
4219 MANOR DR, STROUDSBURG, PA 18360-9451
(570) 992-6616
(570) 992-5052
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
213490
PA
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
CER-00093533
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10000362007
—
PA
Enumeration date
03/12/2007
Last updated
07/21/2022
Update your record
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