Organization
PENNSYLVANIA DEPARTMENT OF HUMAN SERVICES
Active
Other names
Danville State Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY LIGHT (ADMINISTRATOR)
(717) 772-2518
Entity
Organization
Contact information
Practice address
50 KIRKBRIDE DR, DANVILLE, PA 17821-8630
(570) 271-4510
(570) 271-4514
Mailing address
50 KIRKBRIDE DR, DANVILLE, PA 17821-8630
(570) 271-4510
(570) 271-4514
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
—
—
3336I0012X
Institutional Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100308518
—
PA
Enumeration date
11/23/2005
Last updated
10/04/2021
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