NPI 1154304483

Pennsylvania Department of Human Services

Organisation Intellectual Disabilities Intermediate Care Facility Ebensburg, PA

Practice location

Address: 4051 Admiral Peary Hwy, Ebensburg, PA 15931-4332
Phone: (814) 472-0200
Fax: (814) 472-0542
Mailing address: PO Box 600, Ebensburg, PA 15931-0600

Authorised official

Name: Kathy Light
Title: Administrator
Phone: (717) 772-2518

Registered specialties

Intellectual Disabilities Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 315P00000X

Other Intermediate Care Facility, Intellectual Disabilities providers in Pennsylvania →

Registry record

NPI: 1154304483
Entity type: Organization
NPI issued: 21 Nov 2005
Record last updated: 4 Oct 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.