Organization
ARCHANGEL ADULT DAYCARE SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRAY-PAUL MICHAEL BOSSI (OWNER/ADMINISTRATOR)
(570) 840-6125
Entity
Organization
Contact information
Practice address
1214 QUINCY AVE, DUNMORE, PA 18510-2902
(570) 909-9672
(570) 909-9738
Mailing address
1214 QUINCY AVE, DUNMORE, PA 18510-2902
(570) 909-9672
(570) 909-9738
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
384924
PA
Other
Enumeration date
11/26/2011
Last updated
11/26/2011
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