Organization
NORTHWEST TRI-COUNTY INTERMEDIATE UNIT # 5
Active
Parent organization
NORTHWEST TRI-COUNTY INTERMEDIATE UNIT 5
Organization subpart
Yes
Provider details
NPI number
Legal business name
NORTHWEST TRI-COUNTY INTERMEDIATE UNIT 5
Authorized official
MR. FREDERICK C. JOHNSON ED.D. (EXECUTIVE DIRECTOR)
(814) 734-8401
Entity
Organization
Contact information
Practice address
252 WATERFORD STREET, EDINBORO, PA 16412-2315
(814) 734-5610
(814) 734-5806
Mailing address
252 WATERFORD STREET, EDINBORO, PA 16412-2315
(814) 734-5610
(814) 734-5806
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
05/27/2009
Last updated
01/20/2016
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