Healthcare Provider Details

I. General information

NPI: 1720033020
Provider Name (Legal Business Name): ALBRIGHT COMMUNITY SERVICES LTD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/24/2006
Last Update Date: 11/20/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

90 MAPLEWOOD DR
LEWISBURG PA
17837-6307
US

IV. Provider business mailing address

90 MAPLEWOOD DR
LEWISBURG PA
17837-6307
US

V. Phone/Fax

Practice location:
  • Phone: 570-522-3879
  • Fax: 570-524-9068
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License NumberPP415550L
License Number StatePA

VIII. Authorized Official

Name: FAITH KING
Title or Position: DIRECTOR OF REIMBURSEMENT
Credential:
Phone: 570-522-3879