George Junior Republic In Pennsylvania in Grove City - Community Based Residential Treatment Facility, Mental Illness
George Junior Republic In Pennsylvania - NPI 1396869103
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 1396869103. The last update date is 2020-08-22.
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 | 1396869103 |
|---|---|
| Provider Enumeration Date | 2007-03-19 |
| Last Updated Date | 2020-08-22 |
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 |
|---|---|---|---|
| 14522190003 | PA | -- |
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What is the George Junior Republic In Pennsylvania's 1396869103?
The George Junior Republic In Pennsylvania's NPI (National Provider Identifier) Number is 1396869103. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
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 George Junior Republic In Pennsylvania's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for George Junior Republic In Pennsylvania is Community Based Residential Treatment Facility, Mental Illness, and the taxonomy code that categorizes this field of expertise is 320800000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1396869103 to George Junior Republic In Pennsylvania?
The Centers for Medicare & Medicaid Services assigned the 1396869103 to George Junior Republic In Pennsylvania on 2007-03-19.
As of what date were the George Junior Republic In Pennsylvania's details last updated?
The information pertaining to the George Junior Republic In Pennsylvania, including its address, specialty, and other details, was most recently updated on 2020-08-22.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY