Provider Demographics
NPI:1033597638
Name:CATHOLIC HEALTH CARE SERVICES
Entity Type:Organization
Organization Name:CATHOLIC HEALTH CARE SERVICES
Other - Org Name:SOUDERTON ADULT DAY CARE CENTER
Other - Org Type:Other Name
Authorized Official - Title/Position:DIRECTOR COMMUNITY BASED SERVICES
Authorized Official - Prefix:
Authorized Official - First Name:SHIRLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:WEAVER
Authorized Official - Suffix:
Authorized Official - Credentials:OTR/L MSOL
Authorized Official - Phone:215-587-2663
Mailing Address - Street 1:228 RIDGE AVE
Mailing Address - Street 2:
Mailing Address - City:SOUDERTON
Mailing Address - State:PA
Mailing Address - Zip Code:18964-1442
Mailing Address - Country:US
Mailing Address - Phone:267-219-7986
Mailing Address - Fax:267-382-0109
Practice Address - Street 1:228 RIDGE AVE
Practice Address - Street 2:
Practice Address - City:SOUDERTON
Practice Address - State:PA
Practice Address - Zip Code:18964-1442
Practice Address - Country:US
Practice Address - Phone:267-219-7986
Practice Address - Fax:267-382-0109
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-14
Last Update Date:2015-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA285504261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care