Organization Name: | TABOR CHILDREN'S SERVICES INC. |
NPI Number: | 1083769814 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROBERT EDWARD HAUSSMANN (CHIEF INFORMATION OFFICER) |
Mailing Address: | 57 E Armat St Philadelphia |
State: | PA US |
Postal Code: | 191442201 |
Phone Number: | 2158424800 |
Fax Number: | 2158424809 |
NPI Enumeration Date: | 01/24/2007 |
NPI Last Update Date: | 05/25/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 320900000X |
License Number: | 1000038560002 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PA |
Taxonomy Type: | Residential Treatment Facilities |
Taxonomy Classification: | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
Taxonomy Specialization: | |
Taxonomy Definition: | A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |