NPI Provider: 1629075163
Contact Name: Swencki Marion
Position: Administrator
Phone: (570) 488-7130
Wayne Woodlands Manor Information:
Wayne Woodlands Manor organization have npi 1629075163, taxonomy code is 314000000X with license number is 65902 in . This Business address located in 295 South St, Waymart, PA 18472 Pennsylvania.
Practice Location
Address: 295 South St, Waymart, PA 18472
Phone: (570) 488-7130
Business Location
Address: 295 South St, Waymart, PA 18472
Phone: (570) 488-7130
Fax: (570) 488-7215
Taxonomy
Taxonomy Code: 314000000X
License Number: 65902
License Number of State: PA
Primary Taxonomy Switch: Y
Enumeration Date: 6/30/2005
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