National Provider Identifier Database

15 WESNER LANE PECC OPERATING COMPANY LP
Medically Fragile Infants and Children Day Care

An entity, facility, or distinct part of a facility specially equipped and staffed to provide care for medically fragile children with varied and complex care needs (e.g., enteral or parental feeding, ostomy care, respiratory/ventilator care, medications and therapies, etc.).


Contact Information

15 WESNER LANE PECC OPERATING COMPANY, LP
15 WESNER LN STE 101
DANVILLE, PA17821-8023
Phone: 570-284-4387
Fax:
Website:
Specialty Taxonomy Code
* Medically Fragile Infants and Children Day Care 261QM3000X

* Indicates primary specialty

NPI Profile & details for 15 WESNER LANE PECC OPERATING COMPANY, LP

NPI Number 1225656739
Legal business name
LBN
15 WESNER LANE PECC OPERATING COMPANY, LP
Authorized official KIMBERLY KENWORTHY - (DIRECTOR OF ACCOUNTS RECEIVABLE)
Entity Organization
Organization subpart No
Enumeration date 07/10/2020
Last updated 07/10/2020 - About 6 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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