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Pennsylvania Department Of Human Services
Intellectual Disabilities Intermediate Care Facility in Polk, Pennsylvania
NPI 1851374698

Pennsylvania Department Of Human Services is a Intellectual Disabilities Intermediate Care Facility based in Polk, PA. Pennsylvania Department Of Human Services practices in Polk, PA. The NPI Number for Pennsylvania Department Of Human Services is 1851374698 and holds a License No. (Pennsylvania).

The current practice location address for Pennsylvania Department Of Human Services is 1 Lakewood Circle, Polk, PA and can be reached out via phone at 814-432-0211 and via fax at 814-432-0186.

Location: 1 Lakewood Circle, Polk, PA, 16342
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1851374698
Provider Name
Pennsylvania Department Of Human Services
Credential
Provider Entity Type
Organization
Address
1 Lakewood Circle, Polk, PA, 16342
Phone Number
814-432-0211
Fax Number
814-432-0186
Provider Enumeration Date
11/25/2005
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
1 Lakewood Circle
City
Polk
State
Pennsylvania
Zip
16342
Phone Number
814-432-0211
Fax Number
814-432-0186
person
Provider Business Mailing Address Details
Address
1 Lakewood Circle
City
Polk
State
Pennsylvania
Zip
16342
Phone Number
814-432-0211
Fax Number
814-432-0186
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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