# GEORGE JUNIOR REPUBLIC IN PENNSYL VANIA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861123432
- **Authorized official:** NATHAN M GRESSEL MSW MBA (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (724) 458-9330

## Contact information

- **Practice address:** 233 GEORGE JUNIOR RD, GROVE CITY, PA 16127-4417
- **Practice address phone:** (724) 458-9330
- **Practice address fax:** (724) 458-0389
- **Mailing address:** 233 GEORGE JUNIOR RD, GROVE CITY, PA 16127-4417
- **Mailing address phone:** (724) 458-9330
- **Mailing address fax:** (724) 458-0389

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | — |
| 251K00000X | Public Health or Welfare Agency | — | NULL | Yes |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |

## Other

- **Enumeration date:** 06/23/2022
- **Last updated:** 02/27/2023