Organization
EIHAB HUMAN SERVICES PENNSYLVANIA INC
Active
Parent organization
EIHAB HUMAN SERVICES, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
EIHAB HUMAN SERVICES, INC
Authorized official
JANE MEROLLA (ASSOCIATE EXECUTIVE DIRECTOR)
(570) 309-6579
Entity
Organization
Contact information
Practice address
RR 6 BOX 6543, MOSCOW, PA 18444-9665
(570) 309-6579
(570) 309-6362
Mailing address
16818 S CONDUIT AVE, JAMAICA, NY 11434-4899
(718) 276-6101
(718) 276-6063
Taxonomy
Speciality
Code
Description
License number
State
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
Primary
—
—
Other
Enumeration date
10/26/2009
Last updated
10/26/2009
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