Provider Demographics
NPI:1912129578
Name:GENERAL HEALTHCARE RESOURCES INC
Entity Type:Organization
Organization Name:GENERAL HEALTHCARE RESOURCES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LPN
Authorized Official - Prefix:
Authorized Official - First Name:CLAUDINE
Authorized Official - Middle Name:
Authorized Official - Last Name:CWIERTNIEWICZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:570-384-4920
Mailing Address - Street 1:47 TAMMY LANE
Mailing Address - Street 2:
Mailing Address - City:SUGARLOAF
Mailing Address - State:PA
Mailing Address - Zip Code:18249
Mailing Address - Country:US
Mailing Address - Phone:570-484-4920
Mailing Address - Fax:
Practice Address - Street 1:47 TAMMY LANE
Practice Address - Street 2:
Practice Address - City:SUGARLOAF
Practice Address - State:PA
Practice Address - Zip Code:18249
Practice Address - Country:US
Practice Address - Phone:570-484-4920
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPN152049L251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care