Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Voluntary or Charitable |
251V00000X | 61 | Voluntary Health or Charitable Agency[1] |
| NPI # | 1427179647 |
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| LBN Legal business name | CENTER FOR INDEPENDENT LIVING OF NORTH CENTRAL PA | ||||||||||||||||
| Authorized official | JOHN HETTINGER - (DIRECTOR OF OPERATIONS) | ||||||||||||||||
| Entity | Organization | ||||||||||||||||
| Organization subpart 1 | No | ||||||||||||||||
| Enumeration date | 04/03/2007 | ||||||||||||||||
| Last updated | 08/22/2020 - About 6 years ago | ||||||||||||||||
| Identifiers |
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