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Organization

CARE FOR CHILDREN

Active
Organization subpart
No

Provider details

NPI number
Authorized official
VALORIE J. COAST (OFFICE MANAGER)
(814) 362-4621
Entity
Organization

Contact information

Practice address
20 RUSSELL BLVD, BRADFORD, PA 16701-3247
(814) 362-4621
Mailing address
PO BOX 616, BRADFORD, PA 16701-0616
(814) 362-4621

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
OC009615
PA
174400000X
Specialist
PT008816E
PA
174400000X
Specialist
Primary
PT012682L
PA
174400000X
Specialist
PT013931L
PA

Other

Enumeration date
02/22/2007
Last updated
08/22/2020
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