Fcc Allenwood
NPI #1699902783 in Allenwood, Pennsylvania
Provider Information
- NPI Number
- 1699902783
- Entity Type
- Organization
- Organization Name
- Fcc Allenwood
- Primary Specialty
- Custodial Care Facility
- Enumeration Date
- Jun 16, 2009
- Last Updated
- Jun 16, 2009
Practice Location
- Address
- ROUTE 15 RUSSELL ROAD
- City
- Allenwood
- State
- Pennsylvania
- ZIP Code
- 17810-2500
- Phone
- (570) 547-7950
Authorized Official
- Name
- MR. RONALD A LAINO, PA-C
- Title
- HEALTH SERVICE ADMINISTRATOR
- Phone
- (570) 547-7950
Specialties & Taxonomy Codes
| Specialty |
|---|
| Custodial Care Facility |
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