Organization · Type 2 NPI
Pennsylvania Department of Human Services
Intellectual Disabilities Intermediate Care Facility · Polk, PA
NPI number
1851374698
Active
Practice location
1 Lakewood Circle
Polk, PA 16342
Fax (814) 432-0186
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 1851374698
Pennsylvania Department of Human Services's National Provider Identifier is 1851374698, issued on Nov 25, 2005. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Polk, PA. The record was last updated on Oct 4, 2021.