Organization
ETERNAL REST FARM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY YAZDZIK (REGISTERED NURSE)
(570) 647-9803
Entity
Organization
Contact information
Practice address
5266 FIDDLE LAKE RD, THOMPSON, PA 18465-9454
(570) 647-9803
Mailing address
5266 FIDDLE LAKE RD, THOMPSON, PA 18465-9454
(570) 647-9803
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
10/10/2024
Last updated
10/10/2024
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