Organization
PROFESSIONAL HEARING SOLUTIONS,LLC
Active
Other names
Miracle Ear Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DENNIS SHRIVE (MANAGING MEMBER)
(570) 476-9949
Entity
Organization
Contact information
Practice address
1619 N 9TH ST, STROUD COMMONS, STROUDSBURG, PA 18360-6501
(570) 476-9949
(570) 421-6038
Mailing address
PO BOX 733, MOSCOW, PA 18444-0733
(570) 476-9949
(570) 421-6038
Taxonomy
Speciality
Code
Description
License number
State
332S00000X
Hearing Aid Equipment
Primary
D01013
PA
Other
Enumeration date
04/07/2015
Last updated
04/07/2015
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