DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

PENNSYLVANIA DEPARTMENT OF HUMAN SERVICES

Active Organization

ICF/Individuals with Intellectual Disabilities · WHITE HAVEN, PA

Registration Details

NPI Number
1760465454
Provider Type
Organization
NPI Issued
Nov 28, 2005 (20.412300101179 yrs)
Last Updated
Oct 4, 2021

Practice Information

Address
827 OLEY VALLEY RD
WHITE HAVEN, PA, 186613043
Browse PA providers · Browse ZIP 18661
Phone
5704434266
Fax
5704434263
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.