Provider Demographics
NPI:1073640215
Name:ERIE HOMES FOR CHILDREN AND ADULTS, INC.
Entity Type:Organization
Organization Name:ERIE HOMES FOR CHILDREN AND ADULTS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CONTROLLER
Authorized Official - Prefix:
Authorized Official - First Name:JOYCE
Authorized Official - Middle Name:L
Authorized Official - Last Name:PETERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:814-454-1534
Mailing Address - Street 1:226 E 27TH ST
Mailing Address - Street 2:
Mailing Address - City:ERIE
Mailing Address - State:PA
Mailing Address - Zip Code:16504-1006
Mailing Address - Country:US
Mailing Address - Phone:814-454-1534
Mailing Address - Fax:814-452-6723
Practice Address - Street 1:226 E 27TH ST
Practice Address - Street 2:
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16504-1006
Practice Address - Country:US
Practice Address - Phone:814-454-1534
Practice Address - Fax:814-452-6723
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA402510320900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities