Organization
HARBORCREEK YOUTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH ANN IADELUCA (CFO)
(814) 899-7664
Entity
Organization
Contact information
Practice address
5712 IROQUOIS AVE, HARBORCREEK, PA 16421-1009
(814) 899-7664
Mailing address
5712 IROQUOIS AVE, HARBORCREEK, PA 16421-1009
(814) 899-7664
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
438960
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001410380
—
PA
Enumeration date
10/30/2008
Last updated
10/30/2008
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