Organization
THE BAIR FOUNDATION OF PENNSYLVANIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEBORAH ESBENSHADE (CFO)
(724) 946-8711
Entity
Organization
Contact information
Practice address
615 HOWARD AVENUE, EXECUTIVE HOUSE, ALTOONA, PA 16601
(814) 941-5382
(814) 940-1703
Mailing address
241 HIGH ST, NEW WILMINGTON, PA 16142-1116
(724) 946-8711
(724) 946-3249
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
316390
PA
251B00000X
Case Management Agency
415360
PA
251B00000X
Case Management Agency
Primary
432940
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015025800001
—
PA
05
—
0015025800002
—
PA
05
—
0015025800003
—
PA
Enumeration date
10/12/2006
Last updated
08/22/2020
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