National Provider Identifier Database

PEDIATRIAHEALTHCARELLC
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

PEDIATRIAHEALTHCARELLC
53 GRAVEL ST
WILKES-BARRE, PA18705-3738
Phone: 570-371-5600
Fax:
Website:
Specialty Taxonomy Code
* Medically Fragile Infants and Children Day Care 261QM3000X

* Indicates primary specialty

NPI Profile & details for PEDIATRIAHEALTHCARELLC

NPI Number 1639305048
Legal business name
LBN
PEDIATRIAHEALTHCARELLC
Authorized official KAREN DRURY - (CLINICAL CARE COORDINATOR)
Entity Organization
Organization subpart No
Enumeration date 06/01/2009
Last updated 06/01/2009 - About 17 years ago
Sole proprietor1 Not specified
Identifiers
  • PA License #: RN273700L

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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