Provider Demographics
NPI:1235100744
Name:PARTNERSHIP FOR COMMUNITY SUPPORTS
Entity Type:Organization
Organization Name:PARTNERSHIP FOR COMMUNITY SUPPORTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:FRANGICETTO
Authorized Official - Suffix:
Authorized Official - Credentials:M ED
Authorized Official - Phone:267-350-4539
Mailing Address - Street 1:8 INTERPLEX DR STE 305
Mailing Address - Street 2:
Mailing Address - City:TREVOSE
Mailing Address - State:PA
Mailing Address - Zip Code:19053-6981
Mailing Address - Country:US
Mailing Address - Phone:267-350-4539
Mailing Address - Fax:267-350-4539
Practice Address - Street 1:8 INTERPLEX DR STE 305
Practice Address - Street 2:
Practice Address - City:TREVOSE
Practice Address - State:PA
Practice Address - Zip Code:19053-6981
Practice Address - Country:US
Practice Address - Phone:267-350-4539
Practice Address - Fax:267-350-4539
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-01
Last Update Date:2023-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA1009439210002251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1009439210002Medicaid
PA1009439210002OtherMPI NUMBER PA DPW