Organization
PEDIATRIA HEALTHCARE,LLC
Active
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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