Organization
LIFEPATH, INC.
Active
Other names
Community Foundation for Human Development, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL H COLEMAN (C.E.O.)
(610) 264-5724
Entity
Organization
Contact information
Practice address
3500 HIGH POINT BLVD, BETHLEHEM, PA 18017-7803
(610) 264-5724
(610) 264-2707
Mailing address
3500 HIGH POINT BLVD, BETHLEHEM, PA 18017-7803
(610) 264-5724
(610) 264-2707
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
252Y00000X
Early Intervention Provider Agency
—
—
261QM0850X
Adult Mental Health Clinic/Center
142420
PA
315P00000X
Intellectual Disabilities Intermediate Care Facility
545510
PA
315P00000X
Intellectual Disabilities Intermediate Care Facility
555140
PA
315P00000X
Intellectual Disabilities Intermediate Care Facility
629740
PA
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
112030
PA
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
112030
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100001074
—
PA
01
—
11500557
KEYSTONE MERCY HEALTH PLA
—
01
—
DA2402
RAILROAD MEDICARE
—
01
—
LI1334230
BLUE CROSS/BLUE SHIELD
—
Enumeration date
05/28/2006
Last updated
05/27/2016
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