Keystone Independent Living Inc.
NPI #1770124588 in Clarks Summit, Pennsylvania
Provider Information
- NPI Number
- 1770124588
- Entity Type
- Organization
- Organization Name
- Keystone Independent Living Inc.
- Primary Specialty
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Oct 2, 2019
- Last Updated
- Oct 2, 2019
Practice Location
- Address
- 320 TULIP CIR
- City
- Clarks Summit
- State
- Pennsylvania
- ZIP Code
- 18411-2134
- Phone
- (570) 702-8000
Authorized Official
- Name
- MR. DAVID ANTHONY DAVITT JR., DO
- Title
- ACCOUNTS RECEIVABLE COORDINATOR
- Phone
- (570) 702-8000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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