| NPI | 1467449348 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORETTA JEAN PATTON Owner 814-866-6748 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311Z00000X Custodial Care Facility (Licence: PA RP026081L) |
| Additional Taxonomies | 310500000X Intermediate Care Facility, Mental Illness (Licence: PA RP026081L) |
| 311500000X Alzheimer Center (Dementia Center) (Licence: PA RP026081L) | |
| 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: PA RP026081L) | |
| Enumeration Date | 2005-10-05 |
| Last Update Date | 2008-07-22 |