Healthcare Provider Details
I. General information
NPI: 1366097164
Provider Name (Legal Business Name): FAMILIES UNITED NETWORK INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/08/2019
Last Update Date: 08/08/2019
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
169 ASHLER MANOR DR
MUNCY PA
17756-6843
US
IV. Provider business mailing address
276 ASHLER MANOR DR
MUNCY PA
17756-6865
US
V. Phone/Fax
- Phone: 570-445-3803
- Fax: 570-546-8898
- Phone: 570-546-6777
- Fax: 570-546-8898
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QA0600X |
| Taxonomy | Adult Day Care Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
DAVID
C
SPRING
Title or Position: CEO
Credential:
Phone: 570-546-6777