Provider Demographics
NPI:1578721312
Name:PRATT PERSONAL CARE HOME
Entity Type:Organization
Organization Name:PRATT PERSONAL CARE HOME
Other - Org Name:BETTY & ANNABELLE PRATT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:BETTY
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:PRATT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:724-966-2120
Mailing Address - Street 1:BOX 263
Mailing Address - Street 2:
Mailing Address - City:CARMICHAELS
Mailing Address - State:PA
Mailing Address - Zip Code:15320
Mailing Address - Country:US
Mailing Address - Phone:724-966-2120
Mailing Address - Fax:724-966-7951
Practice Address - Street 1:179 PRATT ROAD
Practice Address - Street 2:
Practice Address - City:CARMICHAELS
Practice Address - State:PA
Practice Address - Zip Code:15320
Practice Address - Country:US
Practice Address - Phone:724-966-2120
Practice Address - Fax:724-966-7951
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-29
Last Update Date:2008-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility