OrganizationActive
Blast Iu17
NPI 1457410193 · Local Education Agency (LEA) · Canton, PA
Provider details
- NPI number
- 1457410193
- Entity type
- Organization
- Primary specialty
- Local Education Agency (LEA)Agencies
- Organization subpart
- No
- Authorized official
- John Brenchley, Director of Management Services(570) 673-6001
Specialties & taxonomies
Agencies
Practice location
Rr 2 Box 3364
Canton, PA 17724-8651
Phone: (570) 673-6001
Fax: (570) 673-6007
Approximate (ZIP-level) locationGet directions
Mailing address
Rr 2 Box 3364
Canton, PA 17724-8651
Registry dates
- Enumerated
- 2006-12-08
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.