Organization
KETTLE CREEK OUTFITTERS LTD
Active
Parent organization
KETTLE CREEK OUTFITTERS LTD
Other names
Need a place to Go
Organization subpart
Yes
Provider details
NPI number
Legal business name
KETTLE CREEK OUTFITTERS LTD
Authorized official
DAVID RALPH FLACK (OWNER)
(570) 502-2919
Entity
Organization
Contact information
Practice address
88 QUIET OAKS CAMPGROUND LN, CROSS FORK, PA 17729-9430
(570) 502-2919
(570) 923-1799
Mailing address
88 QUIET OAKS CAMPGROUND LN, CROSS FORK, PA 17729-9430
(570) 502-2919
(570) 923-1799
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Enumeration date
05/18/2020
Last updated
05/18/2020
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