Penn Residential, Inc.

LBN: Penn Residential, Inc.
Penn Residential, Inc. is an health care organization with primary practice located at Po Box C , New Stanton PA 15672-0417. The organization recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children, which is considered as the primary health care specialty. Penn Residential, Inc. can be contacted via phone (724) 635-0048, or through Williams, Clyde via phone (724) 635-0048.

Contact Information

Primary practice address
Po Box C New Stanton PA 15672-0417
Phone: (724) 635-0048
Fax: (724) 635-0746
Website:
Map and Directions
Authorized official contact:
Name: Williams, Clyde
Phone: (724) 635-0048

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children 322D00000X 444280 Pennsylvania

Profile Details

NPI number 1689911554
LBN Legal business name Penn Residential, Inc.
DBA Doing business as
Authorized official Williams, Clyde
Entity Organization
Organization subpart 1 No
Enumeration date Jan 11th, 2013
Last updated Jan 11th, 2013 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1689911554 NPPES
Pennsylvania MEDICAID 102577794

Popular Providers