Organization
VISTA ADULT SERVICES ORGANIZATION
Active
Other names
Adult Residential Services
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES BOUDER (CHIEF OPERATING OFFICER)
(717) 583-5102
Entity
Organization
Contact information
Practice address
1021 SPRINGBOARD DR, HERSHEY, PA 17033-8820
(717) 583-5102
(717) 583-5127
Mailing address
1021 SPRINGBOARD DR, HERSHEY, PA 17033-8820
(717) 583-5102
(717) 583-5127
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
11/20/2015
Last updated
11/20/2015
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