Organization
SHARED SUPPORT, INC.
Active
Organization
SHARED SUPPORT, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH DEVETT (CEO)
(570) 286-4982
Entity
Organization
Contact information
Practice address
218 BRIDGE AVE, SUNBURY, PA 17801-1006
(570) 286-4982
(570) 286-4984
Mailing address
218 BRIDGE AVE, SUNBURY, PA 17801-1006
(570) 286-4982
(570) 286-4984
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
306700
PA
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
306740
PA
Other
Enumeration date
04/17/2007
Last updated
08/22/2020
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