# EIHAB HUMAN SERVICES PENNSYLVANIA INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** EIHAB HUMAN SERVICES, INC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1255667242
- **Legal business name:** EIHAB HUMAN SERVICES, INC
- **Authorized official:** JANE MEROLLA (ASSOCIATE EXECUTIVE DIRECTOR)
- **Authorized official phone:** (570) 309-6579

## Contact information

- **Practice address:** RR 6 BOX 6543, MOSCOW, PA 18444-9665
- **Practice address phone:** (570) 309-6579
- **Practice address fax:** (570) 309-6362
- **Mailing address:** 16818 S CONDUIT AVE, JAMAICA, NY 11434-4899
- **Mailing address phone:** (718) 276-6101
- **Mailing address fax:** (718) 276-6063

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251S00000X | Community/Behavioral Health Agency | — | — | — |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | — | — |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | — | PA | — |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | — | — | Yes |

## Other

- **Enumeration date:** 10/26/2009
- **Last updated:** 10/26/2009