Organization
COMMISSION ON ECONOMIC OPPORTUNITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EUGENE MICHAEL BRADY (EXECUTIVE DIRECTOR)
(570) 826-0510
Entity
Organization
Contact information
Practice address
165 AMBER LANE, WILKES-BARRE, PA 18702-1127
(570) 826-0510
(570) 829-1665
Mailing address
P.O. BOX 1127, 165 AMBER LANE, WILKES-BARRE, PA 18703-1127
(570) 826-0510
(570) 829-1665
Taxonomy
Speciality
Code
Description
License number
State
332U00000X
Home Delivered Meals
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001679705
—
PA
Enumeration date
04/27/2020
Last updated
04/27/2020
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