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Organization

CENTER FOR INDEPENDENT LIVING OF NORTH CENTRAL PA

Active
Other names
CILNCP
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JOHN R HETTINGER MSW (DIRECTOR OF OPERATIONS)
(570) 327-9070
Entity
Organization

Contact information

Practice address
210 MARKET ST, SUITE A, WILLIAMSPORT, PA 17701-6638
(570) 327-9070
(570) 327-8610
Mailing address
210 MARKET ST, SUITE A, WILLIAMSPORT, PA 17701-6638
(570) 327-9070
(570) 327-8610

Taxonomy

Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
51
HOME AND COMMUNITY HABILI
PA
01
54
INTERMEDIATE SERV. ORG
PA
01
55
VENDOR
PA
01
59
ATTENDANT CARE
PA
Enumeration date
04/03/2007
Last updated
08/22/2020
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