| Lybh Corp | |
|
630 Meadowland Ave Kingston PA 18704-5317 | |
| (570) 763-9177 | |
| Not Available |
| Full Name | Lybh Corp |
|---|---|
| Speciality | Counselor - Professional |
| Location | 630 Meadowland Ave, Kingston, Pennsylvania |
| Authorized Official Name and Position | Levi Wolff (OWNER) |
| Authorized Official Contact | 3477794086 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lybh Corp 630 Meadowland Ave Kingston PA 18704-5317 Ph: () - | Lybh Corp 630 Meadowland Ave Kingston PA 18704-5317 Ph: (570) 763-9177 |
| NPI Number | 1598425993 |
|---|---|
| Provider Enumeration Date | 12/27/2021 |
| Last Update Date | 12/30/2021 |
| Certification Date | 12/30/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598425993 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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