Organization
CENTRAL PA LIFE SUPPORT, LLP
Active
Organization
CENTRAL PA LIFE SUPPORT, LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GERARD THOMAS DONAHUE (MANAGING PARTNER'S REPRESENTATIVE)
(570) 207-6740
Entity
Organization
Contact information
Practice address
315 S MAIN AVE, SCRANTON, PA 18504-2546
(570) 207-6740
(570) 207-6749
Mailing address
315 S MAIN AVE, SCRANTON, PA 18504-2546
(570) 207-6740
(570) 207-6749
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
00238
PA
Other
Enumeration date
03/27/2007
Last updated
08/22/2020
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