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Organization

SHAFFER DOM CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JUDY SHAFFER (ADMINISTRAPOR)
(724) 663-4251
Entity
Organization

Contact information

Practice address
20 5TH ST, CLAYSVILLE, PA 15323-1272
(724) 663-4251
(724) 663-4251
Mailing address
20 5TH ST, CLAYSVILLE, PA 15323-1272
(724) 663-4251
(724) 663-4251

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary

Other

Enumeration date
10/11/2007
Last updated
10/11/2007
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