Organization
FOUNDATION HEALTHCARE LLC
Active
Other names
Cedar Residence LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONALD A. HALKO OWNER (OWNER)
(215) 718-9702
Entity
Organization
Contact information
Practice address
929 CEDAR AVE, SCRANTON, PA 18505-1723
(570) 955-3260
(570) 504-7278
Mailing address
201 S. BLAKELY ST. #176, DUNMORE, PA 18512
(570) 955-3260
(570) 504-7278
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
357038
PA
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
PA
Other
Enumeration date
06/13/2011
Last updated
09/09/2015
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