Healthcare Provider Details

I. General information

NPI: 1851398341
Provider Name (Legal Business Name): ALLIED SERVICES SKILLED NURSING CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/30/2005
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

303 SMALLACOMBE DR
SCRANTON PA
18508-2634
US

IV. Provider business mailing address

100 ABINGTON EXECUTIVE PARK
CLARKS SUMMIT PA
18411-2258
US

V. Phone/Fax

Practice location:
  • Phone: 570-348-1424
  • Fax:
Mailing address:
  • Phone: 570-348-1364
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332BN1400X
TaxonomyNursing Facility Supplies (DME)
License Number
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number
License Number StatePA
# 3
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number StatePA
# 4
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number011902
License Number StatePA

VIII. Authorized Official

Name: MR. VINCENT SPLENDIDO
Title or Position: AVP PATIENT FINICAL SERVICES
Credential:
Phone: 570-341-4699