White Deer Run, Inc.

NPI Provider: 1629322797
Contact Name: PROCOPIO JOSEPH
Position: REGIONAL PRESIDENT
Phone: (570) 522-3947

White Deer Run, Inc. Information:

White Deer Run, Inc. organization have npi 1629322797, taxonomy code is 251S00000X with license number is in . This Business address located in 110 MAIN ST, WATSONTOWN, PA 17777 Pennsylvania.

Practice Location
Address: 1620 RIVERSIDE DR, BETHLEHEM, PA 18015
Phone: (570) 538-3302

Business Location
Address: 110 MAIN ST, WATSONTOWN, PA 17777

Taxonomy

Taxonomy Code: 251S00000X

License Number:

License Number of State:

Primary Taxonomy Switch: Y

Enumeration Date: 10/29/2012

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