Organization
LACKAWANNA TRAIL SCHOOL DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID HOMISH (BUSINESS MANAGER)
(570) 945-5184
Entity
Organization
Contact information
Practice address
178 COLLEGE AVE, FACTORYVILLE, PA 18419-0085
(570) 945-5184
(570) 945-3154
Mailing address
178 COLLEGE AVE, PO BOX 85, FACTORYVILLE, PA 18419-0085
(570) 945-5184
(570) 945-3154
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0014968860001
—
PA
Enumeration date
06/27/2006
Last updated
08/22/2020
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