Organization
STEP BY STEP INC.
Active
Parent organization
STEP BY STEP INC
Other names
BUSHKILL ICF/MR
Organization subpart
Yes
Provider details
NPI number
Legal business name
STEP BY STEP INC
Authorized official
MR. JAMES L BOBECK (CHIEF EXECUTIVE OFFICER)
(570) 829-3477
Entity
Organization
Contact information
Practice address
471 BUSHKILL CENTER RD, NAZARETH, PA 18064-9533
(610) 867-0688
(610) 867-9217
Mailing address
744 KIDDER ST, CROSS VALLEY COMMONS BLDG., WILKES BARRE, PA 18702-7015
(570) 829-3477
(570) 829-7918
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
45641100
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1000013970207
DPW MASTER PROVIDER INDEX
PA
Enumeration date
07/27/2007
Last updated
03/02/2016
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