Organization
GLADE RUN LUTHERAN SERVICES
Active
Organization
GLADE RUN LUTHERAN SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RODNEY ALTMAN D.O. (MEDICAL DIRECTOR)
(724) 452-4453
Entity
Organization
Contact information
Practice address
BEAVER ROAD, ZELIENOPLE, PA 16063-0070
(724) 452-4453
(724) 452-6576
Mailing address
PO BOX 70, BEAVER ROAD, ZELIENOPLE, PA 16063-0070
(724) 452-4453
(724) 452-6576
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
PC000174
PA
Other
Enumeration date
12/28/2007
Last updated
12/28/2007
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