Provider Demographics
NPI:1386422244
Name:ADVOCACY ALLIANCE
Entity type:Organization
Organization Name:ADVOCACY ALLIANCE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE EDUCATOR
Authorized Official - Prefix:
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:
Authorized Official - Last Name:SHEDLOCK
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:570-855-3587
Mailing Address - Street 1:244 MAFFETT ST
Mailing Address - Street 2:
Mailing Address - City:PLAINS
Mailing Address - State:PA
Mailing Address - Zip Code:18705-1007
Mailing Address - Country:US
Mailing Address - Phone:157-085-5358
Mailing Address - Fax:
Practice Address - Street 1:846 JEFFERSON AVE
Practice Address - Street 2:
Practice Address - City:SCRANTON
Practice Address - State:PA
Practice Address - Zip Code:18510-1032
Practice Address - Country:US
Practice Address - Phone:570-855-3587
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-20
Last Update Date:2023-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency