Greene Arc, Inc

NPI 1417106121 - Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities - 320900000X

NPI Details
NPI 1417106121
Enumeration Date 09/17/2008
Last Updated 09/17/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name CYNTHIA LYNNE CYNTHIA
Position EXECUTIVE DIRECTOR
Phone (724) 627-5511
Fax (724) 852-1764
Practice Location
197 DUNN STATION RD
PROSPERITY PA, 15329-1625, US
Phone (724) 627-5511
Fax (724) 852-1764
Business Location
197 DUNN STATION RD
PROSPERITY PA, 15329-1625, US
Phone (724) 627-5511
Fax (724) 852-1764
Toxanomy
Taxonomy Code 320900000X
License State Pennsylvania
License Number 469500
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According to our database, Greene Arc, Inc NPI is 1417106121, taxonomy code is 320900000X and license number is 469500, license state is located at Pennsylvania. Greene Arc, Inc physically located at 197 Dunn Station Rd, Prosperity PA, 15329-1625. NPI Number 1033115704 has the healthcare provider type.

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1417106121 NPI number is provided on an as is basis without warranty of any kind. 1417106121 is maintained by the National Plan & Provider Enumeration System. The contents of Greene Arc, Inc are for informational purposes only.