Provider Demographics
NPI:1275794901
Name:EPISCOPAL COMMUNITY SERVICES
Entity Type:Organization
Organization Name:EPISCOPAL COMMUNITY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF FINANCE
Authorized Official - Prefix:MR
Authorized Official - First Name:ART
Authorized Official - Middle Name:
Authorized Official - Last Name:EYRE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-351-1467
Mailing Address - Street 1:225 S 3RD ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19106-3910
Mailing Address - Country:US
Mailing Address - Phone:215-351-1400
Mailing Address - Fax:215-351-1497
Practice Address - Street 1:225 S 3RD ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19106-3910
Practice Address - Country:US
Practice Address - Phone:215-351-1400
Practice Address - Fax:215-351-1497
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-25
Last Update Date:2008-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA137120253J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253J00000XAgenciesFoster Care Agency
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1396826Medicaid