Provider Demographics
NPI:1689212698
Name:MARY'S SHELTER
Entity Type:Organization
Organization Name:MARY'S SHELTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:FOLK
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:610-603-8010
Mailing Address - Street 1:615 KENHORST BLVD
Mailing Address - Street 2:
Mailing Address - City:READING
Mailing Address - State:PA
Mailing Address - Zip Code:19611-1717
Mailing Address - Country:US
Mailing Address - Phone:401-480-8913
Mailing Address - Fax:
Practice Address - Street 1:615 KENHORST BLVD
Practice Address - Street 2:
Practice Address - City:READING
Practice Address - State:PA
Practice Address - Zip Code:19611-1717
Practice Address - Country:US
Practice Address - Phone:401-480-8913
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-20
Last Update Date:2019-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
No174200000XOther Service ProvidersMeals
No177F00000XOther Service ProvidersLodging
No347C00000XTransportation ServicesPrivate Vehicle