Provider Demographics
NPI:1417150210
Name:HOLY FAMILY ASSISTED LIVING
Entity Type:Organization
Organization Name:HOLY FAMILY ASSISTED LIVING
Other - Org Name:TREXLER PAVILION
Other - Org Type:Other Name
Authorized Official - Title/Position:ASSISTED LIVING
Authorized Official - Prefix:MS
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:ABRUZZESE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-265-6245
Mailing Address - Street 1:1220 PROSPECT AVE
Mailing Address - Street 2:
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18018-4915
Mailing Address - Country:US
Mailing Address - Phone:610-865-6245
Mailing Address - Fax:
Practice Address - Street 1:1220 PROSPECT AVE
Practice Address - Street 2:
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18018-4915
Practice Address - Country:US
Practice Address - Phone:610-865-6245
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-08
Last Update Date:2008-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility