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Organization

KEYNET VIRTUALPLACE ENTERPRISE INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. LOLITA A MAIGA (PRESIDENT)
(717) 525-9052
Entity
Organization

Contact information

Practice address
650 N 12TH ST, HARRISBURG, PA 17101-2818
(717) 525-9052
(877) 753-9638
Mailing address
650 N 12TH ST, HARRISBURG, PA 17101-2818
(717) 877-9425
(877) 753-9638

Taxonomy

Speciality
Code
Description
License number
State
177F00000X
Lodging Provider
251C00000X
Developmentally Disabled Services Day Training Agency
253Z00000X
In Home Supportive Care Agency
261QR0400X
Rehabilitation Clinic/Center
276400000X
Substance Use Disorder Rehabilitation Hospital Unit
Primary
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility

Other

Enumeration date
11/21/2022
Last updated
11/21/2022
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