NPI 1306984448

County of Wayne

Organisation Case Management Agency Honesdale, PA

Practice location

Address: 648 Park St Suite a, Honesdale, PA 18431-1446
Phone: (570) 253-9200

Authorised official

Name: Margaret Ennis
Title: Mhmr Administrator
Phone: (570) 253-9200

Registered specialties (2)

Case Management Agency Primary

Agencies Taxonomy 251B00000X

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Public Health or Welfare Agency

Agencies Taxonomy 251K00000X Licence 225140 (PA)

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Registry record

NPI: 1306984448
Entity type: Organization
NPI issued: 1 Feb 2007
Record last updated: 18 Nov 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.