Pennsylvania Department of Human Services

NPI #1508849738 in Selinsgrove, Pennsylvania

Provider Information

NPI Number
1508849738
Entity Type
Organization
Organization Name
Pennsylvania Department of Human Services
Primary Specialty
Intermediate Care Facility, Intellectual Disabilities
Enumeration Date
Nov 22, 2005
Last Updated
Oct 4, 2021

Practice Location

Address
1000 US HIGHWAY 522
ZIP Code
17870-8707
Phone
(570) 372-5601

Authorized Official

Name
KATHY LIGHT
Title
ADMINISTRATOR
Phone
(717) 772-2518

Specialties & Taxonomy Codes

Specialty
Intermediate Care Facility, Intellectual Disabilities

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