Provider Demographics
NPI:1083737183
Name:FRIENDS OF L'ARCHE
Entity Type:Organization
Organization Name:FRIENDS OF L'ARCHE
Other - Org Name:L'ARCHE ERIE
Other - Org Type:Other Name
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:VICKI
Authorized Official - Middle Name:L
Authorized Official - Last Name:WASHEK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:814-452-2065
Mailing Address - Street 1:1101 PEACH ST
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:ERIE
Mailing Address - State:PA
Mailing Address - Zip Code:16501-1812
Mailing Address - Country:US
Mailing Address - Phone:814-452-2065
Mailing Address - Fax:814-452-4188
Practice Address - Street 1:1101 PEACH ST
Practice Address - Street 2:2ND FLOOR
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16501-1812
Practice Address - Country:US
Practice Address - Phone:814-452-2065
Practice Address - Fax:814-452-4188
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA430930320900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities