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Renova Center
Intellectual Disabilities Intermediate Care Facility in Lebanon, Pennsylvania
NPI 1578693925

Renova Center is a Intellectual Disabilities Intermediate Care Facility based in Lebanon, PA. Renova Center practices in Lebanon, PA. The NPI Number for Renova Center is 1578693925 and holds a License No. 76404078 (Pennsylvania).

The current practice location address for Renova Center is 25 Metro Dr, Lebanon, PA and can be reached out via phone at 717-274-0493 and via fax at 717-274-2574. You can also correspond with Renova Center through the mailing address at 25 METRO DR, LEBANON, PA - 17042-9172 (mailing address contact number: 717-274-0493).

Location: 25 Metro Dr, Lebanon, PA, 17042-9172
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1578693925
Provider Name
Renova Center
Credential
Provider Entity Type
Organization
Address
25 Metro Dr, Lebanon, PA, 17042-9172
Phone Number
717-274-0493
Fax Number
717-274-2574
Provider Enumeration Date
03/06/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
25 Metro Dr
City
Lebanon
State
Pennsylvania
Zip
17042-9172
Phone Number
717-274-0493
Fax Number
717-274-2574
person
Provider Business Mailing Address Details
Address
25 Metro Dr
City
Lebanon
State
Pennsylvania
Zip
17042-9172
Phone Number
717-274-0493
Fax Number
717-274-2574
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
76404078 (Pennsylvania)
Definition
(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.
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