George Junior Republic In Pennsylvania in Grove City - Community Based Residential Treatment Facility, Mental Illness
George Junior Republic In Pennsylvania - NPI 1144345380
George Junior Republic In Pennsylvania is a Community Based Residential Treatment Facility, Mental Illness in Grove City, Pennsylvania. George Junior Republic In Pennsylvania practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Mental Illness. The NPI Number for George Junior Republic In Pennsylvania is 1144345380. The last update date is 2010-01-12.
George Junior Republic In Pennsylvania's current location address is Po Box 1058, Grove City, Pennsylvania. You can contact this provider via phone number 7244589330 and fax number 7244580389. The mailing address for George Junior Republic In Pennsylvania is Po Box 1058, Grove City, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | George Junior Republic In Pennsylvania |
|---|---|
| Address | Po Box 1058, Grove City, Pennsylvania |
| Phone Number | 7244589330 |
| Fax Number | 7244580389 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CHIEF EXEC |
|---|---|
| Authorized Official Name | Losasso L. Richard |
| Credentials | MSW |
| Telephone Number | 7244589330 |
NPI Number Detail
| NPI Number | 1144345380 |
|---|---|
| Provider Enumeration Date | 2007-03-20 |
| Last Updated Date | 2010-01-12 |
Provider Mailing Address Detail
| Address | Po Box 1058 |
|---|---|
| City | Grove City |
| State | Pennsylvania (PA) |
| Post Code | 161275058 |
| Phone Number | 7244589330 |
| Fax Number | 7244580389 |
Provider's Primary Taxonomy Detail
| Speciality | Community Based Residential Treatment Facility, Mental Illness |
|---|---|
| Taxonomy | 320800000X |
|
Definition: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 14522190054 | PA | -- | |
| 14522190118 | PA | -- |
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What is the unique 10-digit identifier code issued to George Junior Republic In Pennsylvania by the Centers for Medicare & Medicaid Services?
The George Junior Republic In Pennsylvania has been assigned the NPI (National Provider Identifier) 1144345380 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the George Junior Republic In Pennsylvania's physical address?
The George Junior Republic In Pennsylvania is physically located at Po Box 1058, in the city of Grove City, PA, with the postal code 161275058.
What is the area of specialization for George Junior Republic In Pennsylvania, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for George Junior Republic In Pennsylvania is Community Based Residential Treatment Facility, Mental Illness, and the corresponding taxonomy code that categorizes this area of expertise is 320800000X.
When was the George Junior Republic In Pennsylvania's 1144345380 issued?
The George Junior Republic In Pennsylvania's 1144345380 was issued on 2007-03-20.
As of what date were the details pertaining to George Junior Republic In Pennsylvania last refreshed?
The information related to the George Junior Republic In Pennsylvania, including its address, specialty, and other relevant details, was last updated on 2010-01-12.