Organization Name: | ELK REGIONAL PROFESSIONAL GROUP INC |
NPI Number: | 1467821744 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROSE M CAMPBELL (BOARD MEMBER) |
Mailing Address: | 190 Fraley St Ste 1 Kane |
State: | PA US |
Postal Code: | 16735 |
Phone Number: | 8148378955 |
Fax Number: | 8148376592 |
NPI Enumeration Date: | 09/17/2015 |
NPI Last Update Date: | 09/17/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Rehabilitation |
Taxonomy Definition: |