Provider Demographics
NPI:1093033490
Name:I AND A RESIDENTIAL SERVICES, INC.
Entity Type:Organization
Organization Name:I AND A RESIDENTIAL SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:
Authorized Official - Last Name:GELLES
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:724-463-7830
Mailing Address - Street 1:1019 PHILADELPHIA ST
Mailing Address - Street 2:SUITE 2
Mailing Address - City:INDIANA
Mailing Address - State:PA
Mailing Address - Zip Code:15701-1610
Mailing Address - Country:US
Mailing Address - Phone:724-463-7830
Mailing Address - Fax:724-465-6008
Practice Address - Street 1:1019 PHILADELPHIA ST
Practice Address - Street 2:SUITE 2
Practice Address - City:INDIANA
Practice Address - State:PA
Practice Address - Zip Code:15701-1610
Practice Address - Country:US
Practice Address - Phone:724-463-7830
Practice Address - Fax:724-465-6008
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-10
Last Update Date:2010-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA466530251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health