Organization Name: | THEVILLAGE SERVICES |
NPI Number: | 1437124286 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOHN J. CAVANAUGH (CFO) |
Mailing Address: | 452 S Roberts Rd Rosemont |
State: | PA US |
Postal Code: | 190101136 |
Phone Number: | 6105255400 |
Fax Number: | 6105258396 |
NPI Enumeration Date: | 02/22/2006 |
NPI Last Update Date: | 05/08/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251K00000X |
License Number: | 104020 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PA |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Public Health or Welfare |
Taxonomy Specialization: | |
Taxonomy Definition: |