Organization · Type 2 NPI
Keystone Independent Living
Adult Care Home Facility · Peckville, PA
NPI number
1689913196
Active
Practice location
202 Boulevard Ave
Peckville, PA 18452-1002
Mailing address
100 Abington Executive Park, Suite B
Clarks Summit, PA 18411-2260
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Care Home Facility Primary | 311ZA0620X | 226650 (PA) |
Adult Care Home Facility: A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
About NPI 1689913196
Keystone Independent Living's National Provider Identifier is 1689913196, issued on Feb 4, 2013. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Peckville, PA. The record was last updated on Feb 4, 2013.