CENTER FOR INDEPENDENT LIVING OF CENTRAL PA; NPI #1407995137

Contact Information

CENTER FOR INDEPENDENT LIVING OF CENTRAL PA

207 HOUSE AVE
SUITE 107
CAMP HILL, PA 17011-2308

Phone: 717-731-1900
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Voluntary or Charitable	251V00000X	61	Voluntary Health or Charitable Agency[1]

Indicates primary specialty

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NPI Profile & details for CENTER FOR INDEPENDENT LIVING OF CENTRAL PA

NPI Number 1407995137

LBN Legal business name CENTER FOR INDEPENDENT LIVING OF CENTRAL PA

Authorized official THEOTIS BRADDY - (EXECUTIVE DIRECTOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 02/06/2007

Last updated 08/22/2020 - About 6 years ago

Identifiers

PA	Medicaid	100003963-0005
PA	Medicaid	100003963-0008
PA	Medicaid	100003963-0010
PA	Medicaid	100003963-0012

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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CENTER FOR INDEPENDENT LIVING OF CENTRAL PA

Contact Information

Specialty

Voluntary or Charitable

NPI Profile & details for CENTER FOR INDEPENDENT LIVING OF CENTRAL PA

Reviews for CENTER FOR INDEPENDENT LIVING OF CENTRAL PA