Angel Hearts Pediatric Care, LLC
NPI #1063800712 in Shamokin, Pennsylvania
Provider Information
- NPI Number
- 1063800712
- Entity Type
- Organization
- Organization Name
- Angel Hearts Pediatric Care, LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Jan 5, 2015
- Last Updated
- Jul 1, 2015
Practice Location
- Address
- 44 E INDEPENDENCE ST
- City
- Shamokin
- State
- Pennsylvania
- ZIP Code
- 17872-6804
- Phone
- (570) 648-6100
Authorized Official
- Name
- MR. RICKY J LONG, CEO
- Title
- AUTHORIZED OFIICIAL
- Phone
- (570) 875-9094
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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