Healthcare Provider Details

I. General information

NPI: 1043982556
Provider Name (Legal Business Name): MCGEE AEGIS SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/03/2021
Last Update Date: 10/03/2021
Certification Date: 10/02/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

685 WYNONAH DR
AUBURN PA
17922-9401
US

IV. Provider business mailing address

685 WYNONAH DR
AUBURN PA
17922-9401
US

V. Phone/Fax

Practice location:
  • Phone: 570-391-1869
  • Fax:
Mailing address:
  • Phone: 570-391-1869
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. PATRICIA MICHELLE MCGEE
Title or Position: FOUNDER/CEO
Credential: MS
Phone: 570-391-1869