Organization
PENNSYLVANIA DEPARTMENT OF HUMAN SERVICES
Active
Other names
Hamburg Center
Organization subpart
No
Provider details
NPI number
Authorized official
PATTI A. EISNER (ADMINISTRATOR)
(717) 705-2774
Entity
Organization
Contact information
Practice address
3560 OLD RTE 22, HAMBURG, PA 19526
(610) 562-6001
(610) 562-6081
Mailing address
3560 OLD RTE 22, HAMBURG, PA 19526
(610) 562-6001
(610) 562-6081
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100308518
—
PA
Enumeration date
11/22/2005
Last updated
12/23/2015
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