Provider Demographics
NPI:1053479196
Name:WASHINGTON-GREENE ALTERNATIVE RESIDENTIAL SERVICES INC.
Entity Type:Organization
Organization Name:WASHINGTON-GREENE ALTERNATIVE RESIDENTIAL SERVICES INC.
Other - Org Name:WASHINGTON-GREENE A.R.S. INC.
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MARTIN
Authorized Official - Middle Name:L
Authorized Official - Last Name:WARE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:724-228-7716
Mailing Address - Street 1:621 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:15301-3911
Mailing Address - Country:US
Mailing Address - Phone:724-938-7903
Mailing Address - Fax:724-225-4608
Practice Address - Street 1:621 N MAIN ST
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:PA
Practice Address - Zip Code:15301-3911
Practice Address - Country:US
Practice Address - Phone:724-938-7903
Practice Address - Fax:724-225-4608
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA420130251C00000X
PA823610315P00000X
PA823600315P00000X
PA435410320900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered251C00000XAgenciesDay Training, Developmentally Disabled Services
Not Answered315P00000XNursing & Custodial Care FacilitiesIntermediate Care Facility, Intellectual Disabilities
Not Answered320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities