| Soulvation Farms | |
|
418 S Edwards Ct Scranton PA 18504-2876 | |
| (570) 229-7320 | |
| Not Available |
| Full Name | Soulvation Farms |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 418 S Edwards Ct, Scranton, Pennsylvania |
| Authorized Official Name and Position | Kristen Williams (OWNER) |
| Authorized Official Contact | 5702297320 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Soulvation Farms 420 S Edwards Ct Scranton PA 18504-2876 Ph: (570) 229-7320 | Soulvation Farms 418 S Edwards Ct Scranton PA 18504-2876 Ph: (570) 229-7320 |
| NPI Number | 1659118933 |
|---|---|
| Provider Enumeration Date | 07/12/2024 |
| Last Update Date | 07/30/2024 |
| Certification Date | 07/30/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659118933 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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