National Provider Identifier Database

ANTHRACITE REGION CENTER FOR INDEPENDENT LIVING
Voluntary or Charitable


Contact Information

ANTHRACITE REGION CENTER FOR INDEPENDENT LIVING
8 W BROAD ST STE 228
HAZLETON, PA18201-6401
Phone: 570-455-9800
Fax: 570-455-1731
Website:
Specialty Taxonomy Code
* Voluntary or Charitable 251V00000X
Non-emergency Medical Transport (VAN) 343900000X

* Indicates primary specialty

NPI Profile & details for ANTHRACITE REGION CENTER FOR INDEPENDENT LIVING

NPI Number 1174379465
Legal business name
LBN
ANTHRACITE REGION CENTER FOR INDEPENDENT LIVING
Authorized official LINDA BRADLEY - (FISCAL DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 04/26/2024
Last updated 04/26/2024 - About 2 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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