Organization
THE REDCO GROUP, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIM SOHOSKY (C.O.O.)
(570) 628-5215
Entity
Organization
Contact information
Practice address
97 BIRD LN, MILTON, PA 17847-8413
(570) 524-5154
Mailing address
210 S CENTRE ST, POTTSVILLE, PA 17901-3501
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000017170213
—
PA
Enumeration date
05/01/2007
Last updated
08/28/2019
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