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Organization

VISTA ADULT SERVICES ORGANIZATION

Active
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Organization

VISTA ADULT SERVICES ORGANIZATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JAMES BOUDER (CHIEF OPERATING OFFICER)
(717) 583-5102
Entity
Organization

Contact information

Practice address
24 NORTHEAST DR, HERSHEY, PA 17033-2732
(717) 835-1115
Mailing address
24 NORTHEAST DR, HERSHEY, PA 17033-2732
(717) 835-1115

Taxonomy

Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0
PA
Enumeration date
02/21/2014
Last updated
09/16/2015
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