Burnley Workshop of the Poconos
Organization Active NPI Developmentally Disabled Services Day Training Agency · Stroudsburg, PA
NPI 1386776508 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1386776508
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Developmentally Disabled Services Day Training Agency 251C00000X
- License
- CER-00093533 (PA)
- Legal business name
- BURNLEY WORKSHOP OF THE POCONOS
- Practice address
- 4219 Manor Dr
Stroudsburg, PA 18360-9451 - Phone
- (570) 992-6616
- Fax
- (570) 992-5052
- NPI assigned
- Mar 12, 2007
- Organization subpart
- No
Authorized official
- Name
- Mr. Robert Ames
- Title
- Vice President
- Phone
- (570) 348-5371
National Provider Directory
Locations
4219 Manor Dr
Stroudsburg, PA 18360
Phone (570) 992-6616
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | 213490 | PA | |
| Developmentally Disabled Services Day Training Agency | 251C00000X | CER-00093533 | PA | Yes |
Addresses
Primary practice location
4219 Manor Dr
Stroudsburg, PA 18360-9451
Mailing address
4219 Manor Dr
Stroudsburg, PA 18360-9451
Phone (570) 992-6616
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10000362007 | Medicaid | PA |
Other providers in Stroudsburg, PA
- Kimberly R Brown
- Najwa Brown
- Simone Brown
- Jasmine Luz Buhtanicvela
- Richard Alan Bullock Jr.
- Shantele Burton
- Kimberly Calafiore
- Kellyann Cameron
- Carbon Monroe Pike MH DS
- Carbon-Monroe-Pike MH/Mr Program
All providers in Stroudsburg, PA · Developmentally Disabled Services Day Training Agency in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.