Organization
TYPICAL LIFE CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VICKI SUE MILLER (CFO)
(717) 718-1215
Entity
Organization
Contact information
Practice address
707 LOUCKS RD, YORK, PA 17404-1730
(717) 718-1215
(717) 854-5007
Mailing address
707 LOUCKS RD, YORK, PA 17404-1730
(717) 718-1215
(717) 854-5007
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
332920
PA
Other
Enumeration date
09/21/2016
Last updated
09/21/2016
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