Provider Demographics
NPI:1568589935
Name:BARC
Entity Type:Organization
Organization Name:BARC
Other - Org Name:BARC MILFORD
Other - Org Type:Other Name
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:H
Authorized Official - Last Name:SCHRAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-794-0800
Mailing Address - Street 1:4950 YORK RD
Mailing Address - Street 2:PO BOX 470
Mailing Address - City:HOLICONG
Mailing Address - State:PA
Mailing Address - Zip Code:18928-0470
Mailing Address - Country:US
Mailing Address - Phone:215-794-0800
Mailing Address - Fax:215-794-0958
Practice Address - Street 1:1993 GRANT RD
Practice Address - Street 2:
Practice Address - City:COOPERSBURG
Practice Address - State:PA
Practice Address - Zip Code:18036-9602
Practice Address - Country:US
Practice Address - Phone:215-538-9188
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-23
Last Update Date:2008-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA510910315P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes315P00000XNursing & Custodial Care FacilitiesIntermediate Care Facility, Intellectual Disabilities
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA100000166OtherMASTER PROVIDER INDEX