Thirty-nine West Vine | |
39 W Vine St Lancaster PA 17603-3946 | |
(717) 394-5496 | |
(717) 533-6071 |
Full Name | Thirty-nine West Vine |
---|---|
Speciality | Community/behavioral Health |
Location | 39 W Vine St, Lancaster, Pennsylvania |
Authorized Official Name and Position | Harvey Haack (PRESIDENT) |
Authorized Official Contact | 7173294178 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Thirty-nine West Vine 203 Crescent Dr Hershey PA 17033-2335 Ph: (717) 329-4178 | Thirty-nine West Vine 39 W Vine St Lancaster PA 17603-3946 Ph: (717) 394-5496 |
NPI Number | 1033398078 |
---|---|
Provider Enumeration Date | 10/26/2007 |
Last Update Date | 11/23/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1033398078 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 367079 (Pennsylvania) | Primary |
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