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Pennsylvania Department Of Human Services
Intellectual Disabilities Intermediate Care Facility in White Haven, Pennsylvania
NPI 1760465454

Pennsylvania Department Of Human Services is a Intellectual Disabilities Intermediate Care Facility based in White Haven, PA. Pennsylvania Department Of Human Services practices in White Haven, PA. The NPI Number for Pennsylvania Department Of Human Services is 1760465454 and holds a License No. (Pennsylvania).

The current practice location address for Pennsylvania Department Of Human Services is 827 Oley Valley Rd, White Haven, PA and can be reached out via phone at 570-443-4266 and via fax at 570-443-4263.

Location: 827 Oley Valley Rd, White Haven, PA, 18661-3043
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1760465454
Provider Name
Pennsylvania Department Of Human Services
Credential
Provider Entity Type
Organization
Address
827 Oley Valley Rd, White Haven, PA, 18661-3043
Phone Number
570-443-4266
Fax Number
570-443-4263
Provider Enumeration Date
11/28/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100308518 05 PA
institution
Provider Business Practice Location Address Details
Address
827 Oley Valley Rd
City
White Haven
State
Pennsylvania
Zip
18661-3043
Phone Number
570-443-4266
Fax Number
570-443-4263
person
Provider Business Mailing Address Details
Address
827 Oley Valley Rd
City
White Haven
State
Pennsylvania
Zip
18661-3043
Phone Number
570-443-4266
Fax Number
570-443-4263
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
()
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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