George Junior Republic In Pennsylvania in Grove City - Community Based Residential Treatment Facility, Mental Illness
George Junior Republic In Pennsylvania - NPI 1154446946
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 1154446946. 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 | Losaso L. Richard |
| Credentials | MSW |
| Telephone Number | 7244589330 |
NPI Number Detail
| NPI Number | 1154446946 |
|---|---|
| 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 |
|---|---|---|---|
| 14522190023 | 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 1154446946 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the George Junior Republic In Pennsylvania located?
The George Junior Republic In Pennsylvania is located at Po Box 1058, Grove City, PA 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 George Junior Republic In Pennsylvania receive its 1154446946 assignment from the Centers for Medicare & Medicaid Services?
The George Junior Republic In Pennsylvania was assigned its 1154446946 by the Centers for Medicare & Medicaid Services on 2007-03-20.
When was the information regarding George Junior Republic In Pennsylvania, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to George Junior Republic In Pennsylvania, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-08-22.
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