Healthcare Provider Details

I. General information

NPI: 1497252795
Provider Name (Legal Business Name): VALHALLA VETERANS SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/12/2018
Last Update Date: 02/15/2024
Certification Date: 02/15/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2754 JACKSON ST
SCRANTON PA
18504-1341
US

IV. Provider business mailing address

2754 JACKSON ST
SCRANTON PA
18504-1341
US

V. Phone/Fax

Practice location:
  • Phone: 570-878-7725
  • Fax:
Mailing address:
  • Phone: 833-467-3838
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251V00000X
TaxonomyVoluntary or Charitable Agency
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier1295753226
Identifier TypeOTHER
Identifier StatePA
Identifier IssuerVA
# 2
Identifier1578060877
Identifier TypeOTHER
Identifier StatePA
Identifier IssuerNPI

VIII. Authorized Official

Name: MR. ERIC JOHN DARLING
Title or Position: EXECUTIVE DIRECTOR
Credential: MA
Phone: 570-878-7725