George Junior Republic In Pennsylvania in Grove City - Community Based Residential Treatment Facility, Mental Illness
George Junior Republic In Pennsylvania - NPI 1316062854
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 1316062854. 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 | 1316062854 |
|---|---|
| Provider Enumeration Date | 2007-03-21 |
| 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 |
|---|---|---|---|
| 14522190018 | PA | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to George Junior Republic In Pennsylvania?
The George Junior Republic In Pennsylvania has been issued the NPI (National Provider Identifier) 1316062854 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of George Junior Republic In Pennsylvania?
The George Junior Republic In Pennsylvania is situated at Po Box 1058, in the city of Grove City, state of PA, with the zip code 161275058.
What is the George Junior Republic In Pennsylvania's specialty and taxonomy code?
The George Junior Republic In Pennsylvania's specialty is Community Based Residential Treatment Facility, Mental Illness, and the corresponding taxonomy code is 320800000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1316062854 to George Junior Republic In Pennsylvania?
The George Junior Republic In Pennsylvania received its 1316062854 assignment from the Centers for Medicare & Medicaid Services on 2007-03-21.
When was the information related to George Junior Republic In Pennsylvania most recently updated or refreshed?
The details pertaining to the George Junior Republic In Pennsylvania, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-08-22.
NPI Number: 1679576573
Address: 1400 S Braddock Ave, Pittsburgh, PA
NPI Number: 1700880325
Address: 10011 Euclid Avenue, Cleveland, OH
NPI Number: 1124025705
Address: 452 Delaware Ave, Buffalo, NY