Organization
LUZERNE WYOMING COUNTY MH CENTER #1
Active
Other names
Choices
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH H KNECHT (CEO)
(570) 552-3900
Entity
Organization
Contact information
Practice address
562 WYOMING AVE, KINGSTON, PA 18704-3721
(570) 552-3700
(570) 552-3733
Mailing address
562 WYOMING AVE, KINGSTON, PA 18704-3721
(570) 552-3900
(570) 552-3907
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100002080-0045
—
PA
Enumeration date
04/03/2007
Last updated
08/22/2020
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