Organization
WOMEN'S RESOURCE CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARGARET A RUDDY MSW (EXECUTIVE DIRECTOR)
(570) 346-4460
Entity
Organization
Contact information
Practice address
620 MADISON AVE, SCRANTON, PA 18510-1607
(570) 346-4460
(570) 346-3413
Mailing address
620 MADISON AVE, SCRANTON, PA 18510-1607
(570) 346-4460
(570) 346-3413
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1024061060001
MEDICAL ASSISTANCE PROVIDER NUMBER
PA
Enumeration date
06/15/2016
Last updated
06/15/2016
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