Organization · Type 2 NPI
Pennsylvania Department of Human Services
Intellectual Disabilities Intermediate Care Facility · Ebensburg, PA
NPI number
1154304483
Active
Practice location
4051 Admiral Peary Hwy
Ebensburg, PA 15931-4332
Fax (814) 472-0542
Mailing address
PO Box 600
Ebensburg, PA 15931-0600
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual Disabilities Intermediate Care Facility Primary | 315P00000X | None listed |
Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.
About NPI 1154304483
Pennsylvania Department of Human Services's National Provider Identifier is 1154304483, issued on Nov 21, 2005. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Ebensburg, PA. The record was last updated on Oct 4, 2021.