Organization
ASSOCIATED GERIATRIC SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM RAY LONG PHD (PRESIDENT)
(610) 635-2535
Entity
Organization
Contact information
Practice address
1356 PERRY DR, DENVER, PA 17517-8803
(717) 488-8028
(877) 455-6035
Mailing address
4405 CHURCH RD, ROSSITER, PA 15772-7909
(814) 938-3977
(813) 938-7339
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7322777
—
PA
Enumeration date
01/11/2007
Last updated
06/30/2011
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