Organization · Type 2 NPI
Life Changing Support Services Inc.
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Carrolltown, PA
Practice location
112 St. Benedict St
Carrolltown, PA 15722
Mailing address
PO Box 622, 112 St. Benedict St
Carrolltown, PA 15722
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | None listed |
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | None listed |
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
About NPI 1649567934
Life Changing Support Services Inc.'s National Provider Identifier is 1649567934, issued on Jul 7, 2011. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Carrolltown, PA. The record was last updated on Jul 7, 2011.