Provider Demographics
NPI:1043876360
Name:ALLIED SERVICES PERSONAL CARE, INC
Entity Type:Organization
Organization Name:ALLIED SERVICES PERSONAL CARE, INC
Other - Org Name:ALLIED SERVICES CENTER CITY SKILLED NURSING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT SNF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:COONEY
Authorized Official - Suffix:
Authorized Official - Credentials:NHA
Authorized Official - Phone:570-348-1329
Mailing Address - Street 1:100 ABINGTON EXECUTIVE PARK
Mailing Address - Street 2:
Mailing Address - City:CLARKS SUMMIT
Mailing Address - State:PA
Mailing Address - Zip Code:18411-2260
Mailing Address - Country:US
Mailing Address - Phone:570-348-1329
Mailing Address - Fax:
Practice Address - Street 1:80 E NORTHAMPTON ST
Practice Address - Street 2:
Practice Address - City:WILKES BARRE
Practice Address - State:PA
Practice Address - Zip Code:18701-3035
Practice Address - Country:US
Practice Address - Phone:570-826-1031
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-13
Last Update Date:2019-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility