Organization Name: | SHARED SUPPORT, INC. |
NPI Number: | 1003172925 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | THERESA E PRATT (FISCAL DIRECTOR) |
Mailing Address: | 218 Bridge Ave Sunbury |
State: | PA US |
Postal Code: | 178011006 |
Phone Number: | 5702864982 |
Fax Number: | 5702864984 |
NPI Enumeration Date: | 04/04/2012 |
NPI Last Update Date: | 04/04/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251K00000X |
License Number: | 329450 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Public Health or Welfare |
Taxonomy Specialization: | |
Taxonomy Definition: |