Organization
STEP BY STEP INC
Active
Parent organization
STEP BY STEP INC.
Other names
STEP BY STEP PRINGLE ST ICF/MR
Organization subpart
Yes
Provider details
NPI number
Legal business name
STEP BY STEP INC.
Authorized official
MR. JAMES L. BOBECK (CHIEF EXECUTIVE OFFICER)
(570) 829-3477
Entity
Organization
Contact information
Practice address
270 PRINGLE ST, KINGSTON, PA 18704-2743
(570) 829-3477
(570) 829-4090
Mailing address
744 KIDDER ST, CROSS VALLEY COMMONS BUILDING, WILKES BARRE, PA 18702-7015
(570) 829-3477
(570) 829-7918
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
608790
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1000013970223
DPW PROMISE MASTER PROVID
PA
Enumeration date
07/27/2007
Last updated
03/02/2016
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