Provider Demographics
NPI:1568621035
Name:MELODY MANOR, INC.
Entity Type:Organization
Organization Name:MELODY MANOR, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATIVE ASSISTANT
Authorized Official - Prefix:MRS
Authorized Official - First Name:CAROLINE
Authorized Official - Middle Name:C
Authorized Official - Last Name:DUNN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:724-545-1564
Mailing Address - Street 1:413 N MCKEAN ST
Mailing Address - Street 2:
Mailing Address - City:KITTANNING
Mailing Address - State:PA
Mailing Address - Zip Code:16201-1359
Mailing Address - Country:US
Mailing Address - Phone:724-545-1564
Mailing Address - Fax:724-545-6740
Practice Address - Street 1:413 N MCKEAN ST
Practice Address - Street 2:
Practice Address - City:KITTANNING
Practice Address - State:PA
Practice Address - Zip Code:16201-1359
Practice Address - Country:US
Practice Address - Phone:724-545-1564
Practice Address - Fax:724-545-6740
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-09
Last Update Date:2008-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305S00000XManaged Care OrganizationsPoint of Service