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Organization

PEDIATRIA HEALTHCARE,LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. DEBORAH LAFRATTE (ADMINISTRATIVE DIRECTOR)
(570) 789-0845
Entity
Organization

Contact information

Practice address
53 GRAVEL ST, WILKES BARRE, PA 18705-3738
(570) 789-0845
Mailing address
53 GRAVEL ST, WILKES BARRE, PA 18705-3738
(570) 789-0845

Taxonomy

Speciality
Code
Description
License number
State
261QM3000X
Medically Fragile Infants and Children Day Care
Primary
RN283765L
PA

Other

Enumeration date
06/01/2009
Last updated
06/01/2009
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