Organization
SENECA HIGHLANDS INTERMEDIATE UNIT 9
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONALD MANCIA (DIRECTOR OF SPECIAL EDUCATION)
(814) 887-5512
Entity
Organization
Contact information
Practice address
65 E VALLEY RD, SMETHPORT, PA 16749-4757
(814) 887-9287
(814) 887-9927
Mailing address
119 S MECHANIC ST, SMETHPORT, PA 16749-1270
(814) 887-5512
(814) 887-2203
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0014858190003
—
PA
Enumeration date
05/30/2007
Last updated
08/22/2020
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