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Organization

YOUR CHILD'S PLACE

Active
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Organization

YOUR CHILD'S PLACE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. JILL EALY (EXECUTIVE DIRECTOR)
(724) 229-0851
Entity
Organization

Contact information

Practice address
289 NORTH AVE, WASHINGTON, PA 15301-3512
(724) 223-7801
(724) 223-7802
Mailing address
190 N MAIN ST, SUITE 306, WASHINGTON, PA 15301-4349
(724) 229-0851
(724) 229-9252

Taxonomy

Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
164W00000X
Licensed Practical Nurse
3140N1450X
Pediatric Skilled Nursing Facility

Other

Enumeration date
03/19/2007
Last updated
04/22/2010
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