Organization
TABOR CHILDREN'S SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT EDWARD HAUSSMANN PH.D. (CHIEF INFORMATION OFFICER)
(215) 842-4800
Entity
Organization
Contact information
Practice address
57 E ARMAT ST, PHILADELPHIA, PA 19144-2201
(215) 842-4800
(215) 842-4809
Mailing address
601 NEW BRITAIN RD, DOYLESTOWN, PA 18901-2788
(215) 842-4800
(215) 348-9261
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
1000038560010
PA
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
1000038560002
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10000385600010
DPW-PROMISE
PA
01
—
1000038560002
PA DPW
PA
Enumeration date
01/24/2007
Last updated
05/25/2011
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