Organization
MAMA'S HOUSE P.C.H.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JOYCE EWING B.S., M.S.W. (OWNER)
(412) 217-9026
Entity
Organization
Contact information
Practice address
142 ELM ST., CLAYSVILLE, PA 15323
(724) 663-4284
(724) 663-4284
Mailing address
142 ELM ST., P.O. BOX 494, CLAYSVILLE, PA 15323
(724) 663-4284
(724) 663-4284
Taxonomy
Speciality
Code
Description
License number
State
310500000X
Mental Illness Intermediate Care Facility
Primary
400630
PA
Other
Enumeration date
09/20/2007
Last updated
09/20/2007
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