PEDIATRIAHEALTHCARELLC is a medically fragile infants and children day care clinic center in Wilkes Barre, PA. The provider is an entity, facility, or distinct part of a facility specially equipped and staffed to provide care for medically fragile children with varied and complex care needs (e.g., enteral or parental feeding, ostomy care, respiratory/ventilator care, medications and therapies, etc.). PEDIATRIAHEALTHCARELLC NPI is 1639305048. The provider is registered as an organization entity type.
The provider's business location address is:
53 GRAVEL ST
WILKES BARRE, PA
ZIP 18705-738
Phone: (570) 371-5600
The provider's authorized official is Karen Drury .
The authorized official title is Clinical Care Coordinator and has the following contact phone number (570) 371-5600.
The CLIA number assigned to this NPI record is 39D2095766 - other with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 6/1/2009 and was last updated on 6/1/2009.