Organization
GEORGE JUNIOR REPUBLIC IN PENNSYL VANIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATHAN M GRESSEL MSW MBA (CHIEF EXECUTIVE OFFICER)
(724) 458-9330
Entity
Organization
Contact information
Practice address
233 GEORGE JUNIOR RD, GROVE CITY, PA 16127-4417
(724) 458-9330
(724) 458-0389
Mailing address
233 GEORGE JUNIOR RD, GROVE CITY, PA 16127-4417
(724) 458-9330
(724) 458-0389
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251K00000X
Public Health or Welfare Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0014522190134
—
PA
Enumeration date
06/23/2022
Last updated
02/27/2023
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