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Organization

PROVIDER OF CO-OP SERVICES

Active
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Organization

PROVIDER OF CO-OP SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CATHRYN LAURIE STEIN (OWNER)
(610) 453-5005
Entity
Organization

Contact information

Practice address
1467 HARK A WAY RD, CHESTER SPRINGS, PA 19425-2302
(610) 453-5005
Mailing address
1467 HARK A WAY RD, CHESTER SPRINGS, PA 19425-2302

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN517919L
PA
251C00000X
Developmentally Disabled Services Day Training Agency
102276610
PA
251K00000X
Public Health or Welfare Agency
102276610
PA
251S00000X
Community/Behavioral Health Agency
102276610
PA
302F00000X
Exclusive Provider Organization
Primary
102276610
PA
385H00000X
Respite Care
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
102276610
CONSOLIDATED, BASE AND PERSON/FAMILY WAIVER
PA
01
102276610
OBRA, COMMCARE AND INDEPENDANCE WAIVER
05
102276610
PA
Enumeration date
06/29/2009
Last updated
02/29/2016
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