George Junior Republic In Pennsylvania in Grove City - Community Based Residential Treatment Facility, Mental Illness
George Junior Republic In Pennsylvania - NPI 1457476657
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 1457476657. 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 | 1457476657 |
|---|---|
| Provider Enumeration Date | 2007-03-20 |
| 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 |
|---|---|---|---|
| 14522190016 | PA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to George Junior Republic In Pennsylvania by the Centers for Medicare & Medicaid Services (CMS)?
The George Junior Republic In Pennsylvania has been assigned the NPI (National Provider Identifier) 1457476657. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete physical address where George Junior Republic In Pennsylvania is located?
The George Junior Republic In Pennsylvania is situated at the following address: Po Box 1058, Grove City, PA, 161275058.
What is George Junior Republic In Pennsylvania's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The George Junior Republic In Pennsylvania's specialized field of practice is Community Based Residential Treatment Facility, Mental Illness, and the corresponding taxonomy code that categorizes this area of specialization is 320800000X.
On what date did George Junior Republic In Pennsylvania receive its 1457476657 assignment from the Centers for Medicare & Medicaid Services?
The George Junior Republic In Pennsylvania was assigned its 1457476657 on 2007-03-20, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding George Junior Republic In Pennsylvania most recently updated?
The details pertaining to the George Junior Republic In Pennsylvania, including its address, specialty, and other relevant information, were last refreshed on 2020-08-22.
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