Organization
MESSIAH LIFEWAYS COMMUNITY SUPPORT SERVICES
Active
Parent organization
MESSIAH LIFEWAYS COMMUNITY SUPPORT SERVICES
Organization subpart
Yes
Provider details
NPI number
Legal business name
MESSIAH LIFEWAYS COMMUNITY SUPPORT SERVICES
Authorized official
TRACY BIESECKER (CFO)
(717) 591-7228
Entity
Organization
Contact information
Practice address
100 MOUNT ALLEN DR, MECHANICSBURG, PA 17055-6171
(717) 697-4666
Mailing address
100 MOUNT ALLEN DR, MECHANICSBURG, PA 17055-6171
(717) 697-4666
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1027311970001
IDR/MHMR
PA
05
—
1027311970006
—
PA
Enumeration date
06/03/2019
Last updated
06/13/2019
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