George Junior Republic In Pennsylvania in Grove City - Community Based Residential Treatment Facility, Mental Illness
George Junior Republic In Pennsylvania - NPI 1740305184
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 1740305184. 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 | 1740305184 |
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Provider Enumeration Date | 2007-03-21 |
Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
Address | Po Box 1058 |
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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 |
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14522190019 | PA | -- |
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What is the George Junior Republic In Pennsylvania's unique identification number?
The George Junior Republic In Pennsylvania has been assigned the NPI (National Provider Identifier) Number 1740305184 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where George Junior Republic In Pennsylvania's facilities are situated?
The facilities of George Junior Republic In Pennsylvania are physically located at the following address: Po Box 1058, Grove City, PA, 161275058.
What is George Junior Republic In Pennsylvania's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for George Junior Republic In Pennsylvania is Community Based Residential Treatment Facility, Mental Illness, and the taxonomy code that classifies this field of practice is 320800000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1740305184 to George Junior Republic In Pennsylvania?
The Centers for Medicare & Medicaid Services originally issued the 1740305184 to George Junior Republic In Pennsylvania on 2007-03-21.
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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