George Junior Republic In Pennsylvania in Grove City - Community Based Residential Treatment Facility, Mental Illness
George Junior Republic In Pennsylvania - NPI 1760507560
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 1760507560. 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 |
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Address | Po Box 1058, Grove City, Pennsylvania |
Phone Number | 7244589330 |
Fax Number | 7244580389 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | CHIEF EXEC |
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Authorized Official Name | Losasso L. Richard |
Credentials | MSW |
Telephone Number | 7244589330 |
NPI Number Detail
NPI Number | 1760507560 |
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Provider Enumeration Date | 2007-03-20 |
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 |
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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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14522190027 | PA | -- |
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What is the unique 10-digit identification code issued to George Junior Republic In Pennsylvania by the Centers for Medicare & Medicaid Services?
The George Junior Republic In Pennsylvania has been assigned the NPI (National Provider Identifier) 1760507560 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
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 area of expertise and its corresponding taxonomy classification?
The George Junior Republic In Pennsylvania's field of specialization is Community Based Residential Treatment Facility, Mental Illness, and it falls under the taxonomy code 320800000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services assign the 1760507560 to George Junior Republic In Pennsylvania?
The Centers for Medicare & Medicaid Services assigned the 1760507560 to George Junior Republic In Pennsylvania on 2007-03-20.
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.