Organization
KIDSPEACE NATIONAL CENTERS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL CALLAN (CFO)
(610) 799-7517
Entity
Organization
Contact information
Practice address
101 PITTSTON AVE STE 1, SCRANTON, PA 18505-1150
(800) 854-3123
(610) 799-8318
Mailing address
4085 INDEPENDENCE DR, SCHNECKSVILLE, PA 18078
(800) 854-3123
(610) 799-8318
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
206210
PA
253J00000X
Foster Care Agency
Primary
202550
PA
253J00000X
Foster Care Agency
206170
PA
253J00000X
Foster Care Agency
239110
PA
253J00000X
Foster Care Agency
239120
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100763290-0094
—
PA
05
—
100763290-0104
—
PA
Enumeration date
02/21/2007
Last updated
10/23/2017
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