Organization
STEP BY STEP INC
Active
Other names
STEP BY STEP LATTIMER ICF.MR
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES L. BOBECK (CHIEF EXECUTIVE OFFICER)
(570) 829-3477
Entity
Organization
Contact information
Practice address
76 QUALITY RD., LATTIMER, PA 18234
(570) 829-3477
(570) 829-4090
Mailing address
744 KIDDER ST, CROSS VALLEY COMMONS BUILDING, WILKES BARRE, PA 18702-7015
(570) 829-3477
(570) 829-7918
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
608800
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1000013970268
DPW MASTER PROVIDER NUMBE
PA
Enumeration date
07/31/2007
Last updated
03/02/2016
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