Provider Demographics
NPI:1699205609
Name:FAIR HILL THERAPEUTIC RIDING CENTER
Entity Type:Organization
Organization Name:FAIR HILL THERAPEUTIC RIDING CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MICHELE
Authorized Official - Middle Name:
Authorized Official - Last Name:SANDS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:570-224-0052
Mailing Address - Street 1:PO BOX 3
Mailing Address - Street 2:
Mailing Address - City:TYLER HILL
Mailing Address - State:PA
Mailing Address - Zip Code:18469-0003
Mailing Address - Country:US
Mailing Address - Phone:570-224-0052
Mailing Address - Fax:
Practice Address - Street 1:1046 COCHECTON TPKE
Practice Address - Street 2:
Practice Address - City:TYLER HILL
Practice Address - State:PA
Practice Address - Zip Code:18469-4010
Practice Address - Country:US
Practice Address - Phone:570-224-0052
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-13
Last Update Date:2017-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225800000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRecreation TherapistGroup - Single Specialty