Organization · Type 2 NPI
Pennsylvania Department of Human Services
Intellectual Disabilities Intermediate Care Facility · White Haven, PA
NPI number
1760465454
Active
Practice location
827 Oley Valley Rd
White Haven, PA 18661-3043
Fax (570) 443-4263
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.
3 other providers at this address
About NPI 1760465454
Pennsylvania Department of Human Services's National Provider Identifier is 1760465454, issued on Nov 28, 2005. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in White Haven, PA. The record was last updated on Oct 4, 2021.