Organization
MAYA'S HOUSE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MADELINE PANKEY (OWNER)
(646) 281-9299
Entity
Organization
Contact information
Practice address
431 W LIBERTY ST, ALLENTOWN, PA 18102-2968
(646) 281-9299
Mailing address
431 W LIBERTY ST, ALLENTOWN, PA 18102-2968
(646) 281-9299
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
PA
Other
Enumeration date
06/17/2014
Last updated
06/17/2014
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