Pennsylvania Department of Human Services
NPI #1760465454 in White Haven, Pennsylvania
Provider Information
- NPI Number
- 1760465454
- Entity Type
- Organization
- Organization Name
- Pennsylvania Department of Human Services
- Primary Specialty
- Intermediate Care Facility, Intellectual Disabilities
- Enumeration Date
- Nov 28, 2005
- Last Updated
- Oct 4, 2021
Practice Location
- Address
- 827 OLEY VALLEY RD
- City
- White Haven
- State
- Pennsylvania
- ZIP Code
- 18661-3043
- Phone
- (570) 443-4266
Authorized Official
- Name
- KATHY LIGHT
- Title
- ADMINISTRATOR
- Phone
- (717) 772-2518
Specialties & Taxonomy Codes
| Specialty |
|---|
| Intermediate Care Facility, Intellectual Disabilities |
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