Provider Demographics
NPI:1831732361
Name:BREASTFEEDING CENTER OF CENTRAL PENNSYLVANIA LLC.
Entity type:Organization
Organization Name:BREASTFEEDING CENTER OF CENTRAL PENNSYLVANIA LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:MRS
Authorized Official - First Name:RENEE
Authorized Official - Middle Name:DIEHL
Authorized Official - Last Name:PISTILLI
Authorized Official - Suffix:
Authorized Official - Credentials:CNM
Authorized Official - Phone:717-712-4713
Mailing Address - Street 1:247 N 24TH ST
Mailing Address - Street 2:
Mailing Address - City:CAMP HILL
Mailing Address - State:PA
Mailing Address - Zip Code:17011-3604
Mailing Address - Country:US
Mailing Address - Phone:717-712-4713
Mailing Address - Fax:
Practice Address - Street 1:247 N 24TH ST
Practice Address - Street 2:
Practice Address - City:CAMP HILL
Practice Address - State:PA
Practice Address - Zip Code:17011-3604
Practice Address - Country:US
Practice Address - Phone:717-712-4713
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-28
Last Update Date:2019-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation ConsultantGroup - Single Specialty