Provider Demographics
NPI:1417091729
Name:ALBRECHT INC
Entity Type:Organization
Organization Name:ALBRECHT INC
Other - Org Name:GUARDIAN ANGEL PERSONAL CARE HOME
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ALLISON
Authorized Official - Middle Name:L
Authorized Official - Last Name:SHOWVER
Authorized Official - Suffix:
Authorized Official - Credentials:BS ADMINISTRATION
Authorized Official - Phone:570-644-7860
Mailing Address - Street 1:1710 MAPLE AVE
Mailing Address - Street 2:
Mailing Address - City:COAL TOWNSHIP
Mailing Address - State:PA
Mailing Address - Zip Code:17866-4012
Mailing Address - Country:US
Mailing Address - Phone:570-644-7860
Mailing Address - Fax:570-644-5180
Practice Address - Street 1:1710 MAPLE AVE
Practice Address - Street 2:
Practice Address - City:COAL TOWNSHIP
Practice Address - State:PA
Practice Address - Zip Code:17866-4012
Practice Address - Country:US
Practice Address - Phone:570-644-7860
Practice Address - Fax:570-644-5180
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA202080302R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization