Organization
PEDIATRIAHEALTHCARELLC
Active
Organization
PEDIATRIAHEALTHCARELLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KAREN DRURY RN,BS (CLINICAL CARE COORDINATOR)
(570) 371-5600
Entity
Organization
Contact information
Practice address
53 GRAVEL ST, WILKES BARRE, PA 18705-3738
(570) 371-5600
Mailing address
53 GRAVEL ST, WILKES BARRE, PA 18705-3738
(570) 371-5600
Taxonomy
Speciality
Code
Description
License number
State
261QM3000X
Medically Fragile Infants and Children Day Care
Primary
RN273700L
PA
Other
Enumeration date
06/01/2009
Last updated
06/01/2009
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