| Organization Name: | HEALTH POCONOS, INC |
| NPI Number: | 1407838055 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DONNA MAASSEN (DIRECTOR OF COMPLIANCE) |
| Mailing Address: | 100 Community Dr 105 Tobyhanna |
| State: | PA US |
| Postal Code: | 184668985 |
| Phone Number: | 5708399975 |
| Fax Number: | 5708399274 |
| NPI Enumeration Date: | 11/18/2005 |
| NPI Last Update Date: | 06/29/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR0401X |
| License Number: | 394532 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | PA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Taxonomy Definition: | |