NPI Provider: 1528339215
Contact Name: PROCOPIO JOSEPH
Position: PRESIDENT, NECRC
Phone: (570) 538-3302
White Deer Run, Inc Information:
White Deer Run, Inc organization have npi 1528339215, taxonomy code is 251S00000X with license number is in . This Business address located in 110 MAIN ST, WATSONTOWN, PA 17777 Pennsylvania.
Practice Location
Address: 110 MAIN ST, WATSONTOWN, PA 17777
Phone: (570) 538-3302
Business Location
Address: 110 MAIN ST, WATSONTOWN, PA 17777
Taxonomy
Taxonomy Code: 251S00000X
License Number:
License Number of State: PA
Primary Taxonomy Switch: Y
Enumeration Date: 01/26/2012
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