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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