MEDICARE: VALHALLA VETERANS SERVICES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251V00000X	Voluntary or Charitable Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1295753226	OTHER	PA	VA
2	1578060877	OTHER	PA	NPI

General Provider Information

NPI Number	:	1497252795
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VALHALLA VETERANS SERVICES

Provider Business Mailing Address
First Line	:	2754 JACKSON ST
Second Line	:
City	:	SCRANTON
State	:	PA
Zip	:	18504-1341
Country	:	US
Telephone Number	:	833-467-3838
Fax Number	:

Provider Business Practice Location Address
First Line	:	2754 JACKSON ST
Second Line	:
City	:	SCRANTON
State	:	PA
Zip	:	18504-1341
Country	:	US
Telephone Number	:	570-878-7725
Fax Number	:

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	MR. ERIC JOHN DARLING
Credential	:	MA
Telephone Number	:	570-878-7725

Provider Enumeration Date	:	04/12/2018
Last Update Date	:	02/15/2024

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Directions to “VALHALLA VETERANS SERVICES ” Practice Location

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