| |
22 Northeast Dr Hershey PA 17033-2732 | |
(800) 243-1455 | |
Not Available |
Full Name | |
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Speciality | Social Worker |
Location | 22 Northeast Dr, Hershey, Pennsylvania |
Authorized Official Name and Position | Donald Mckenna (PRESIDENT) |
Authorized Official Contact | 7175313979 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 858 Hershey PA 17033-0858 Ph: (800) 243-1455 | 22 Northeast Dr Hershey PA 17033-2732 Ph: (800) 243-1455 |
NPI Number | 1336386408 |
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Provider Enumeration Date | 01/12/2009 |
Last Update Date | 01/21/2025 |
Certification Date | 01/21/2025 |
Identifier | Type | State | Issuer |
---|---|---|---|
1336386408 | NPI | - | NPPES |
05029 | Other | PA | DEPT OF HEALTH FACILITY LICENSE NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
104100000X | Social Worker | 05029 (Pennsylvania) | Primary |
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