National Provider Identifier Database

CENTER FOR INDEPENDENT LIVING OF NORTH CENTRAL PA
Voluntary or Charitable


Contact Information

CENTER FOR INDEPENDENT LIVING OF NORTH CENTRAL PA
210 MARKET ST
SUITE A
WILLIAMSPORT, PA17701-6638
Phone: 570-327-9070
Fax: 570-327-8610
Website:
Specialty Taxonomy Code
* Voluntary or Charitable 251V00000X

* Indicates primary specialty

NPI Profile & details for CENTER FOR INDEPENDENT LIVING OF NORTH CENTRAL PA

NPI Number 1427179647
Legal business name
LBN
CENTER FOR INDEPENDENT LIVING OF NORTH CENTRAL PA
Authorized official JOHN HETTINGER - (DIRECTOR OF OPERATIONS)
Entity Organization
Organization subpart No
Enumeration date 04/03/2007
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • PA Other: 59 ATTENDANT CARE
  • PA Other: 51 HOME AND COMMUNITY HABILI
  • PA Other: 54 INTERMEDIATE SERV. ORG
  • PA Other: 55 VENDOR

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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