NPI Provider: 1265485445
Contact Name: Baker Gary
Position: President/CEO
Phone: (570) 265-2191
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Memorial Hospital Hospice Information:
Memorial Hospital Hospice organization have npi 1265485445, taxonomy code is 251G00000X with license number is 159899 in . This Business address located in 1 Hospital Dr, Towanda, PA 18848 Pennsylvania.
Practice Location
Address: 1 Hospital Dr, Towanda, PA 18848
Phone: (570) 265-2191
Business Location
Address: 1 Hospital Dr, Towanda, PA 18848
Phone: (570) 265-2191
Fax: (570) 265-4797
Taxonomy
Taxonomy Code: 251G00000X
License Number: 159899
License Number of State: PA
Primary Taxonomy Switch: Y
Enumeration Date: 5/18/2006
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