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Glade Run Lutheran Services
Emotionally Disturbed Childrens' Residential Treatment Facility in Zelienople, Pennsylvania
NPI 1225193030

Glade Run Lutheran Services is a Emotionally Disturbed Childrens' Residential Treatment Facility based in Zelienople, PA. Glade Run Lutheran Services practices in Zelienople, PA. The NPI Number for Glade Run Lutheran Services is 1225193030 and holds a License No. 414650 (Pennsylvania).

The current practice location address for Glade Run Lutheran Services is Beaver Road, Zelienople, PA and can be reached out via phone at 724-452-4453 and via fax at 724-452-6576.

Location: Beaver Road, Zelienople, PA, 16063-0070
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1225193030
Provider Name
Glade Run Lutheran Services
Credential
Provider Entity Type
Organization
Address
Beaver Road, Zelienople, PA, 16063-0070
Phone Number
724-452-4453
Fax Number
724-452-6576
Provider Enumeration Date
12/22/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100754254-0019 05 PA
institution
Provider Business Practice Location Address Details
Address
Beaver Road
City
Zelienople
State
Pennsylvania
Zip
16063-0070
Phone Number
724-452-4453
Fax Number
724-452-6576
person
Provider Business Mailing Address Details
Address
Beaver Road
City
Zelienople
State
Pennsylvania
Zip
16063-0070
Phone Number
724-452-4453
Fax Number
724-452-6576
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Emotionally Disturbed Children
Speciality
-
Taxonomy
322D00000X
License No.
414650 (Pennsylvania)
Definition
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
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