Provider Demographics
NPI:1629243761
Name:STEPHEN P. MIZNER FUNERAL HOME & CREMATION SERVICES, INC.
Entity Type:Organization
Organization Name:STEPHEN P. MIZNER FUNERAL HOME & CREMATION SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:P
Authorized Official - Last Name:MIZNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:814-724-2345
Mailing Address - Street 1:404 CHESTNUT ST
Mailing Address - Street 2:
Mailing Address - City:MEADVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:16335-2901
Mailing Address - Country:US
Mailing Address - Phone:814-724-2345
Mailing Address - Fax:
Practice Address - Street 1:404 CHESTNUT ST
Practice Address - Street 2:
Practice Address - City:MEADVILLE
Practice Address - State:PA
Practice Address - Zip Code:16335-2901
Practice Address - Country:US
Practice Address - Phone:814-724-2345
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-29
Last Update Date:2008-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes176P00000XOther Service ProvidersFuneral DirectorGroup - Single Specialty