Organization
SHADYS REST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CINDY VERNESSA MONCIF (R.N.)
(610) 776-0680
Entity
Organization
Contact information
Practice address
1004 W JUNIATA STREET, ALLENTOWN, PA 18013
(610) 776-0680
Mailing address
1004 W JUNIATA ST, ALLENTOWN, PA 18103-3925
(610) 776-0680
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
—
PA
Other
Enumeration date
12/16/2009
Last updated
07/21/2022
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