Provider Demographics
NPI:1457467078
Name:FAMILY SERVICE
Entity Type:Organization
Organization Name:FAMILY SERVICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT OF OPERATIONS
Authorized Official - Prefix:MR
Authorized Official - First Name:JERRY
Authorized Official - Middle Name:
Authorized Official - Last Name:RHEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:717-397-5241
Mailing Address - Street 1:630 JANET AVE
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17601-4527
Mailing Address - Country:US
Mailing Address - Phone:717-397-5241
Mailing Address - Fax:
Practice Address - Street 1:630 JANET AVE
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17601-4527
Practice Address - Country:US
Practice Address - Phone:717-397-5241
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare