NPI 1467781708

Shadys Rest

Organisation Preferred Provider Organization Allentown, PA

Practice location

Address: 1004 W Juniata Street, Allentown, PA 18013
Phone: (610) 776-0680
Mailing address: 1004 W Juniata St, Allentown, PA 18103-3925

Authorised official

Name: Cindy Vernessa Moncif
Title: R.N.
Phone: (610) 776-0680

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X

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Registry record

NPI: 1467781708
Entity type: Organization
NPI issued: 16 Dec 2009
Record last updated: 21 Jul 2022

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.