Organization Name: | PA EVALUATIONS, LLC |
NPI Number: | 1518286491 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BRAD WILLIAM KLEINFELTER (OWNER) |
Mailing Address: | 302 6th St. Mount Gretna |
State: | PA US |
Postal Code: | 17064 |
Phone Number: | 7179641860 |
Fax Number: | 7179643204 |
NPI Enumeration Date: | 05/18/2010 |
NPI Last Update Date: | 05/18/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QH0100X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Health Service |
Taxonomy Definition: |