Organization
LEEDS HEALTH CARE SERVICES INC
Active
Other names
Nottingham Village
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FREDERICK D KESSLER (ADMINISTRATOR)
(570) 473-8366
Entity
Organization
Contact information
Practice address
58 NEITZ ROAD, NORTHUMBERLAND, PA 17857-0032
(570) 473-8366
(570) 473-9752
Mailing address
PO BOX 32, 58 NEITZ ROAD, NORTHUMBERLAND, PA 17857-0032
(570) 473-8366
(570) 473-9752
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
314000000X
Skilled Nursing Facility
Primary
401002
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001975195002
—
PA
Enumeration date
10/04/2006
Last updated
11/21/2013
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