Organization
THE KALEIDOSCOPE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KRISTINE ANN FELL OTR/L (CHIEF OPERATING OFFICER)
(570) 955-9861
Entity
Organization
Contact information
Practice address
107 CHURCH ST, MONTROSE, PA 18801-1363
(570) 904-4767
Mailing address
997 MAPLE GROVE RD, MOSCOW, PA 18444-6860
(570) 955-9861
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
TCO150810JD4303
PA
Other
Enumeration date
08/24/2015
Last updated
08/24/2015
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