Organization · NPI-2
15 Wesner Lane Pecc Operating Company, LP
Clinic/Center, Medically Fragile Infants and Children Day Care · Danville, PA
NPI number1225656739
StatusActive
Last updated in NPPESJul 10, 2020
Details
- NPI
- 1225656739
- Entity type
- Organization (NPI-2)
- Legal business name
- 15 Wesner Lane Pecc Operating Company, LP
- Organization subpart
- No
- Enumeration date
- Jul 10, 2020
- Certification date
- Jul 10, 2020
- Last updated
- Jul 10, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM3000X | Clinic/Center, Medically Fragile Infants and Children Day Care | – | – | Yes |
Other names
- Pediatric Specialty Care Medical Day At Danville (Doing Business As)
Practice location
15 Wesner Ln Ste 101Danville, PA 17821-8023
Phone 570-284-4387
Mailing address
500 Seneca St Ste 100Buffalo, NY 14204-1963
Phone 716-817-5085
Authorized official
Kimberly Kenworthy
Director Of Accounts Receivable
7168175085
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