Organization
ALLIED SERVICES SKILLED NURSING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VINCENT SPLENDIDO (AVP PATIENT FINICAL SERVICES)
(570) 341-4699
Entity
Organization
Contact information
Practice address
303 SMALLACOMBE DR, SCRANTON, PA 18508-2634
(570) 348-1424
Mailing address
100 ABINGTON EXECUTIVE PARK, CLARKS SUMMIT, PA 18411-2258
(570) 348-1364
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
011902
PA
332BC3200X
Customized Equipment (DME)
—
PA
332BN1400X
Nursing Facility Supplies (DME)
—
PA
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000079091
3 RIVERS
PA
05
—
0011577000002
—
PA
01
—
30968
GEISINGER
PA
01
—
812502
AETNA
PA
01
—
A08008623
CEDI/SUBMITTER ID
PA
Enumeration date
06/30/2005
Last updated
07/21/2022
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