White Deer Run, Llc in Kempton - Community/behavioral Health

White Deer Run, Llc - NPI 1649391319

White Deer Run, Llc is a Community/behavioral Health in Kempton, Pennsylvania. White Deer Run, Llc practices all healthcare services and medical treatments related to Community/behavioral Health. The NPI Number for White Deer Run, Llc is 1649391319. The last update date is 2022-11-03.

White Deer Run, Llc's current location address is Po Box 199, Kempton, Pennsylvania. You can contact this provider via phone number 6107564023. The mailing address for White Deer Run, Llc is Po Box 199, Kempton, Pennsylvania. To know further, please read the information below!

Provider Profile Detail

Provider Organization White Deer Run, Llc
Address Po Box 199, Kempton, Pennsylvania
Phone Number 6107564023
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position VICE PRESI
Authorized Official Name Howard Christopher
Telephone Number 6158616000

NPI Number Detail

NPI Number 1649391319
Provider Enumeration Date 2007-04-02
Last Updated Date 2022-11-03

Provider Mailing Address Detail

Address Po Box 199
City Kempton
State Pennsylvania (PA)
Post Code 195290199
Phone Number 6107564023
Fax Number

Provider's Primary Taxonomy Detail

Speciality Community/behavioral Health
Taxonomy 251S00000X
Licence No SS1960505
Definition:
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those dis

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1007567870068 PA --

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FAQs about White Deer Run, Llc

What is the White Deer Run, Llc's unique identification number?

The White Deer Run, Llc has been assigned the NPI (National Provider Identifier) Number 1649391319 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you share the physical location details of White Deer Run, Llc?

The White Deer Run, Llc is situated at Po Box 199, in the city of Kempton, state of PA, with the zip code 195290199.

What is the White Deer Run, Llc's specialty and taxonomy code?

The White Deer Run, Llc's specialty is Community/behavioral Health, and the corresponding taxonomy code is 251S00000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1649391319 to White Deer Run, Llc?

The Centers for Medicare & Medicaid Services assigned the 1649391319 to White Deer Run, Llc on 2007-04-02.

As of what date were the details related to White Deer Run, Llc most recently updated or revised?

The information pertaining to White Deer Run, Llc, including its address, specialty, and other relevant details, was last updated or revised on 2022-11-03.

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