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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