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Contact Information

NORTHEAST PENNSYLVANIA CENTER FOR INDEPENDENT LIVING
1142 SANDERSON AVE
SCRANTON, PA18509-2623
 Phone: 570-344-7211
 Fax: 570-558-5570
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Supports Brokerage

251X00000X
 

Case Management

251B00000X
 

Home Modifications

171WH0202X
 

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for NORTHEAST PENNSYLVANIA CENTER FOR INDEPENDENT LIVING

NPI Number 1659601979
LBN Legal business name NORTHEAST PENNSYLVANIA CENTER FOR INDEPENDENT LIVING
Authorized official HELEN LOGAN - (DIRECTOR OF ACCOUNTING)
Entity Organization
Organization subpart 1 No
Enumeration date 01/08/2010
Last updated 06/09/2016 - About 10 years ago
Identifiers
CO Medicaid 88931382
PA Medicaid 100680698
WY Medicaid APPLIED FOR
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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