Organization
FUSHION MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMY B KUPSTAS (COTA/L)
(570) 690-0623
Entity
Organization
Contact information
Practice address
15349 DAVENPORT CIR, OMAHA, NE 68154-2043
(402) 505-4670
Mailing address
55 YATES ST, FORTY FORT, PA 18704-4118
(570) 690-0623
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
OP006778
PA
Other
Enumeration date
04/25/2011
Last updated
04/27/2011
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