Provider Demographics
NPI:1760412027
Name:YOUNKER, EILEEN (BSN CRRN)
Entity Type:Individual
Prefix:MRS
First Name:EILEEN
Middle Name:
Last Name:YOUNKER
Suffix:
Gender:F
Credentials:BSN CRRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:220 S RIVER ST
Mailing Address - Street 2:C/O ADULT SERVICES UNLIMITED T/A RIVERSIDE REHAB
Mailing Address - City:PLAINS
Mailing Address - State:PA
Mailing Address - Zip Code:18705-1137
Mailing Address - Country:US
Mailing Address - Phone:570-824-3444
Mailing Address - Fax:570-824-4021
Practice Address - Street 1:220 S RIVER ST
Practice Address - Street 2:C/O ADULT SERVICES UNLIMITED T/A RIVERSIDE REHAB
Practice Address - City:PLAINS
Practice Address - State:PA
Practice Address - Zip Code:18705-1137
Practice Address - Country:US
Practice Address - Phone:570-824-3444
Practice Address - Fax:570-824-4021
Is Sole Proprietor?:No
Enumeration Date:2006-07-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN328506L163WR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0400XNursing Service ProvidersRegistered NurseRehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA372927Medicare ID - Type UnspecifiedMEDICARE GROUP #